Susan Jill McConaughy, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

64072 Issued in CO

Practice address

10465 Park Meadows Drive
Suite 104
Lone Tree, CO 80124

Phone

(303) 799-7903

Fax

(303) 799-1222

NPI assigned

Oct 20, 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1710069257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 PARK MEADOWS DRIVE",
            "address_2": "SUITE 104",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-799-7903",
            "fax_number": "303-799-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 PARK MEADOWS DRIVE",
            "address_2": "SUITE 104",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-799-7903",
            "fax_number": "303-799-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAUGHY",
        "first_name": "SUSAN",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "64072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07640725",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Aynsley McBryde, PA
• Christopher James McCarthy
• Jordan McCarthy, PA-C
• Meredith McCarty, PT, DPT
• Margaret McClean, RN
• Sherry J McCormick, NP
• Candace McCutcheon, RDH
• Linda Joy McDonough, R.N.
• Matthew Daniel McDowell, PA-C
• Kylie McGeehan, RN

• Advanced Practice Midwife in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Advanced Practice Midwife in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.