Active NPI
Shelley Wasson, CPM, LM
- Midwife
- Barling, AR
National Provider Identifier
1679708176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 012008
- Practice address
- 508 6TH St
Barling, AR 72923-2107 - Phone
- (479) 420-6497
- Fax
- (479) 484-5619
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 012008 | AR | Primary |
Addresses
Primary practice location
508 6TH St
Barling, AR 72923-2107
Mailing address
508 6TH St
Barling, AR 72923-2107
Phone (479) 420-6497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012008 | AR | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243382400000",
"number": "1679708176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 6TH ST",
"city": "BARLING",
"state": "AR",
"postal_code": "729232107",
"telephone_number": "479-420-6497",
"fax_number": "479-484-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 6TH ST",
"city": "BARLING",
"state": "AR",
"postal_code": "729232107",
"telephone_number": "479-420-6497",
"fax_number": "479-484-5619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSON",
"first_name": "SHELLEY",
"name_prefix": "Mrs.",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-27",
"last_updated": "2009-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AR",
"license": "012008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barling, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.