Susan Liipfert Shelton, PHD, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

9410866 Issued in FL

Practice address

2770 Capital Medical Blvd Ste 200B
Tallahassee, FL 32308-8419

Phone

(850) 702-9730

Fax

(850) 702-9747

NPI assigned

Apr 4, 2022

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Emory University School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.shelton.1@23211.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County Georgi

  dba Magnolia Womens Center

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1548788771
  NPD

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1790426963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 200B",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088419",
            "telephone_number": "850-702-9730",
            "fax_number": "850-702-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SUSAN",
        "middle_name": "LIIPFERT",
        "name_prefix": "Dr.",
        "credential": "PHD, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9410866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Sheldon
• Kerry Corven Shell, LMHC,ED.S,M.S.,NCC
• Danielle E Shelton, MM, MT-BC, CEDCAT
• Malik Shelton
• Marissa Shelton
• Rachel Shepard, RN
• Rachel Deanna Shepard, LCSW
• Richard F Shepard, MS LMHC
• Gwendolyn Sheppard
• Jasmine N Sheppard, LCSW

• Advanced Practice Midwife in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.