Individual provider Active NPI

Susan Rutledge Stapleton, CNM

  • Advanced Practice Midwife
  • Reading, PA
National Provider Identifier
1942205695
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW008190L Issued in PA
Practice address
949 New Holland Rd
Reading, PA 19607-1646
Phone
(610) 777-7222
Fax
(610) 775-9534
NPI assigned
Jun 19, 2005
Last updated
Nov 27, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW008190L PA Primary

Addresses

Primary practice location

949 New Holland Rd
Reading, PA 19607-1646

Mailing address

949 New Holland Rd
Reading, PA 19607-1646
Phone (610) 777-7222

Other identifiers 5

IdentifierTypeStateIssuer
03135201OtherPACAPITAL BLUE CROSS
1016365OtherAMERIHEALTH MERCY HEALTHP
KEYSTONE HEALPLN CNTOtherPA992990
126700OtherTHREE RIVERS MEDPLUS
415-718OtherPAPENNSYLVANIA BLUE SHIELD

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
45439KYMDEmergency Medicine Physician
MW008190LPAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Nursing Healthcare Past Accepting new patients
Frontier Nursing Healthcare Inc Past Accepting new patients
Frontier Nursing Healthcare, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1942205695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 NEW HOLLAND RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196071646",
            "telephone_number": "610-777-7222",
            "fax_number": "610-775-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 NEW HOLLAND RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196071646",
            "telephone_number": "610-777-7222",
            "fax_number": "610-775-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "SUSAN",
        "middle_name": "RUTLEDGE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-19",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW008190L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03135201",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY HEALTHP",
            "identifier": "1016365",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "992990",
            "identifier": "KEYSTONE HEALPLN CNT",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS MEDPLUS",
            "identifier": "126700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "415-718",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.