Individual provider Active NPI

Heather Frances Groves, LM,CPM

  • Lay Midwife
  • Tracy, CA
National Provider Identifier
1093056830
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
LM354 Issued in CA
Practice address
1706 Lahola CT
Tracy, CA 95304-5932
Phone
(209) 597-2845
Fax
(209) 221-0714
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X LM354 CA Primary

Addresses

Primary practice location

1706 Lahola CT
Tracy, CA 95304-5932

Mailing address

1706 Lahola CT
Tracy, CA 95304-5932
Phone (209) 597-2845

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LM354CAMDLay Midwife

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1093056830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 LAHOLA CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953045932",
            "telephone_number": "209-597-2845",
            "fax_number": "209-221-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 LAHOLA CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953045932",
            "telephone_number": "209-597-2845",
            "fax_number": "209-221-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "HEATHER",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "LM,CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "CA",
            "license": "LM354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.