Individual provider Active NPI

Stephanie Roux, CNM

  • Advanced Practice Midwife
  • Indianapolis, IN
National Provider Identifier
1659133023
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000 Issued in IN
Practice address
7950 N Shadeland Ave Ste 350
Indianapolis, IN 46250-2699
Phone
(317) 437-3681
Fax
(855) 279-1781
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X 09000 IN Primary

Addresses

Primary practice location

7950 N Shadeland Ave Ste 350
Indianapolis, IN 46250-2699

Mailing address

7950 N Shadeland Ave Ste 350
Indianapolis, IN 46250-2699
Phone (317) 437-3681

Other practice location 1

6620 Parkdale Pl Ste K
Indianapolis, IN 46254-4697
Phone (317) 437-3681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526002122 IN Practitioner - Certified Nurse Midwife (CNM) 5193295665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Cincinnati College of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
09000INMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Roots Midwifery Birth Center, Inc Past Accepting new patients
Sacred Roots Midwifery, LLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15198/brand/6/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1659133023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 N SHADELAND AVE STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502699",
            "telephone_number": "317-437-3681",
            "fax_number": "855-279-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 N SHADELAND AVE STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502699",
            "telephone_number": "317-437-3681",
            "fax_number": "855-279-1781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 Parkdale Pl Ste K",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462544697",
            "country_code": "US",
            "telephone_number": "317-437-3681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUX",
        "first_name": "STEPHANIE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.