Susan Bligh Robertson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM8247106 Issued in AZ

Practice address

5658 Highway 260
Suite 24
Lakeside, AZ 85929-5189

Phone

(928) 537-4379

Fax

(928) 537-4653

NPI assigned

Jan 31, 2006

Last updated

Aug 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1902877590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 BLACK BEAR WAY",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295514",
            "telephone_number": "928-368-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5658 HIGHWAY 260",
            "address_2": "SUITE 24",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "859295189",
            "telephone_number": "928-537-4379",
            "fax_number": "928-537-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIGH ROBERTSON",
        "first_name": "SUSAN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "CNM8247106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459942",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Banner Urgent Care Arizona LLC
• Banner Urgent Care Arizona LLC
• Barnet Dulaney Perkins Eye Center II PLLC (American Vision Partners)
• Barnet Dulaney Perkins Eye Center, PC (American Vision Partners)
• Billy Creek Clinic
• Blue Ridge School District No. 32
• Bornstein Medical PLLC
• Ian Kay Brimhall, DO
• Sarah Burnett
• Cardinal Anesthesia, PLLC

• Advanced Practice Midwife in Lakeside, AZ
• Providers in Lakeside, AZ by specialty
• Advanced Practice Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.