Active NPI
Ingrid M. Gold, CNM
- Advanced Practice Midwife
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP0220
- Practice address
- 10240 W Indian School Rd
Building 2 Suite# 140
Phoenix, AZ 85037-5904 - Phone
- (623) 846-7558
- Fax
- (623) 846-1674
- NPI assigned
- Jul 12, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 092976 | AZ | |
| Advanced Practice Midwife | 367A00000X | AP0220 | AZ | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN092976 | AZ | |
| Advanced Practice Midwife | 367A00000X | RN092976 | AZ |
Addresses
Primary practice location
10240 W Indian School Rd
Building 2 Suite# 140
Phoenix, AZ 85037-5904
Mailing address
10240 W Indian School Rd
Building 2 Suite# 140
Phoenix, AZ 85037-5904
Phone (623) 846-7558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393695 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN092976 | AZ | MD | Obstetrics & Gynecology Nurse Practitioner |
| 092976 | AZ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona OB GYN Affiliates PC | Current | Accepting new patients | |
| Arizona OB/GYN Affiliates PC | Past | Accepting new patients |
Locations
1950 W Frye Rd
Ste B
Chandler, AZ 85224
1757 E Melrose St
Gilbert, AZ 85297
1170 N Estrella Pkwy
Ste A107
Goodyear, AZ 85338
Phone (623) 263-0105
35 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 846-7558
1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671
9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558
10240 W Indian School Rd
Ste 140
Phoenix, AZ 85037
Phone (623) 846-7558
530 E Thomas Rd
Phoenix, AZ 85012
Phone (602) 351-2229
1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342
Interoperability endpoints
- ingrid.gold.1@14294.direct.athenahealth.com
- https://api.platform.athenahealth.com/14294/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Phoenix, AZ
- NPI 1750589404
-
- Obstetrics & Gynecology Physician
- Chandler, AZ
- NPI 1962577650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1801894092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 W INDIAN SCHOOL RD",
"address_2": "BUILDING 2 SUITE# 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375904",
"telephone_number": "623-846-7558",
"fax_number": "623-846-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 W INDIAN SCHOOL RD",
"address_2": "BUILDING 2 SUITE# 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375904",
"telephone_number": "623-846-7558",
"fax_number": "623-846-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "INGRID",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "092976",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "AP0220",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "AZ",
"license": "RN092976",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AZ",
"license": "RN092976",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "393695",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.