Susan D Shannon, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

000246 Issued in CT

Practice address

50 America Rd
Sharon, CT 06069

Phone

(860) 364-0536

Fax

(860) 364-1299

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Ny Downtown Faculty Practice Opd

  • Family Medicine Physician
  • New York, NY
  • NPI 1396780581
  NPD (past)
• Ny Downtown OB GYN Associates

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1902963465
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881785301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "06069",
            "telephone_number": "860-364-0536",
            "fax_number": "860-364-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AMERICA RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "06069",
            "telephone_number": "860-364-0536",
            "fax_number": "860-364-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "000246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome K Roth Jr., MD
• Victoria Indira Sahadevan Fossland, MD
• John R Schneider
• Robert Schnurr, MD
• William E Schweizer III, MD
• Sharon Acquisition Operator, LLC (Sharon Center for Health & Rehabilitation)
• Sharon Dental Associates LLC
• Sharon Ear, Nose and Throat, PC
• Sharon Emergency Medicine PC
• Sharon Pediatric Associates

• Advanced Practice Midwife in Sharon, CT
• Providers in Sharon, CT by specialty
• Advanced Practice Midwife in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.