Active NPI
Anna Crew Kinney Psomas, CNM, WHNP-BC
- Advanced Practice Midwife
- Sumter, SC
National Provider Identifier
1962093500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 24608
- Practice address
- 115 N Sumter St Ste 110
Sumter, SC 29150-4968 - Phone
- (803) 775-8351
- Fax
- (803) 774-1512
- NPI assigned
- Jan 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 24608 | SC | |
| Advanced Practice Midwife | 367A00000X | 24608 | SC | Primary |
Addresses
Primary practice location
115 N Sumter St Ste 110
Sumter, SC 29150-4968
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 296-7320
Other practice location 1
370 S Pike W
Sumter, SC 29150-2664
Phone (803) 774-6448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MW0287 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24608 | SC | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1962093500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N SUMTER ST STE 110",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504968",
"telephone_number": "803-775-8351",
"fax_number": "803-774-1512"
}
],
"practiceLocations": [
{
"address_1": "370 S Pike W",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291502664",
"country_code": "US",
"telephone_number": "803-774-6448",
"fax_number": "803-774-4829",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PSOMAS",
"first_name": "ANNA",
"middle_name": "CREW KINNEY",
"credential": "CNM, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "24608",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SC",
"license": "24608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MW0287",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.