Active NPI
Sharon Hodges-Rust, LM
- Midwife
- Tucson, AZ
National Provider Identifier
1700149937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM171
- Practice address
- 6417 E Fordham Dr
Tucson, AZ 85710-8754 - Phone
- (520) 409-4877
- Fax
- (520) 284-9297
- NPI assigned
- Jun 21, 2012
- 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 | LM171 | AZ | Primary |
Addresses
Primary practice location
6417 E Fordham Dr
Tucson, AZ 85710-8754
Mailing address
6417 E Fordham Dr
Tucson, AZ 85710-8754
Phone (520) 409-4877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13020001 | Other | CPM | |
| 171 | Other | AZ | MIDWIFE LICENSE |
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 |
|---|---|---|---|
| LM171 | AZ | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1700149937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6417 E FORDHAM DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857108754",
"telephone_number": "520-409-4877",
"fax_number": "520-284-9297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6417 E FORDHAM DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857108754",
"telephone_number": "520-409-4877",
"fax_number": "520-284-9297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES-RUST",
"first_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AZ",
"license": "LM171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPM",
"identifier": "13020001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWIFE LICENSE",
"identifier": "171",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.