Active NPI
Susan Spada Hally, CNM
- Advanced Practice Midwife
- New Haven, CT
National Provider Identifier
1972600799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000026
- Practice address
- 200 Orchard St
New Haven, CT 06511-5363 - Phone
- (203) 789-3029
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000026 | CT | Primary |
Addresses
Primary practice location
200 Orchard St
New Haven, CT 06511-5363
Mailing address
122 Red Hill Rd
Branford, CT 06405-3361
Phone (203) 481-0294
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004144367CL | Medicaid | CT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1972600799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 RED HILL RD",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053361",
"telephone_number": "203-481-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ORCHARD ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115363",
"telephone_number": "203-789-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLY",
"first_name": "SUSAN",
"middle_name": "SPADA",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CT",
"license": "000026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004144367CL",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.