Susan Nichols, APRN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

036774-23-01 Issued in NH

Practice address

16 Hospital Dr
York, ME 03909-1011

Phone

(207) 351-3455

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

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.

• Kayenta Alternative Rural Hospital

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Kayenta, AZ
  • NPI 1285750125
  NPD
• Kayenta Alternative Rural Hospital

  • General Acute Care Hospital
  • Tonalea, AZ
  • NPI 1740359108
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1679515779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SUSAN",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "036774-23-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005034",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Neff Montembeau, PT, DPT
• Cheryl Neiverth, LCSW
• Neurology Associates of York Hospital
• Neurology Associates of York Hospital
• New England Molecular Imaging LLC
• Sarah Lucy Nold, MS-CCC-SLP
• Nourish by Lacey, LLC
• Novel Pathways Speech Therapy, LLC
• Charles O'Brien, D.O.
• Bryan Edward O'Connor, RPH

• All providers in York, ME
• Advanced Practice Midwife in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.