Organization Active NPI

A Simon Birth Assisting PLLC

  • Obstetrics & Gynecology Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1750809422
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP7987 Issued in AZ
Legal business name
A SIMON BIRTH ASSISTING PLLC
Practice address
14502 W Meeker Blvd
Sun City West, AZ 85375-5282
Phone
(602) 818-7193
NPI assigned
Sep 1, 2017
Last updated
Sep 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Authorized official

Name
Amanda Simon, CNM, WHNP-BC
Title
CNM, WHNP-BC
Phone
(602) 818-7193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP7987 AZ Primary
Advanced Practice Midwife 367A00000X AP7653 AZ

Addresses

Primary practice location

14502 W Meeker Blvd
Sun City West, AZ 85375-5282

Mailing address

8045 W Tonopah Dr
Peoria, AZ 85382-5431

Other identifiers 1

IdentifierTypeStateIssuer
074059MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504224000000",
    "number": "1750809422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 W TONOPAH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755282",
            "telephone_number": "602-818-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SIMON BIRTH ASSISTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-01",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CNM, WHNP-BC",
        "authorized_official_telephone_number": "602-818-7193",
        "authorized_official_credential": "CNM, WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP7987",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP7653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074059",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.