Active NPI
Sheena M Criswell, C.P.M.
- Midwife
- Independence, MO
National Provider Identifier
1760735344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 12080012
- Practice address
- 9710 E US Highway 40
Independence, MO 64055-6116 - Phone
- (816) 313-6163
- Fax
- (816) 313-1232
- NPI assigned
- Oct 20, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 12080012 | MO | Primary |
Addresses
Primary practice location
9710 E US Highway 40
Independence, MO 64055-6116
Mailing address
11204 Myrtle Ave
Kansas City, MO 64137-2311
Phone (530) 949-0692
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 |
|---|---|---|---|
| 12080012 | MO | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350691200000",
"number": "1760735344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11204 MYRTLE AVE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641372311",
"telephone_number": "530-949-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9710 E US HIGHWAY 40",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640556116",
"telephone_number": "816-313-6163",
"fax_number": "816-313-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISWELL",
"first_name": "SHEENA",
"middle_name": "M",
"credential": "C.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-20",
"last_updated": "2012-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MO",
"license": "12080012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.