Hollis A Groom, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

550830 Issued in TX

Practice address

4370 Medical Arts Dr Ste 300
Flower Mound, TX 75028-1724

Phone

(940) 591-6700

Fax

(940) 320-1220

NPI assigned

Jun 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1104822618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 S MAYHILL RD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762085910",
            "telephone_number": "940-591-6700",
            "fax_number": "940-320-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 MEDICAL ARTS DR STE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281724",
            "telephone_number": "940-591-6700",
            "fax_number": "940-320-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 S Mayhill Rd",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762085910",
            "country_code": "US",
            "telephone_number": "940-591-6700",
            "fax_number": "940-320-1220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Frisco Square Blvd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343311",
            "country_code": "US",
            "telephone_number": "940-591-6700",
            "fax_number": "940-320-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROOM",
        "first_name": "HOLLIS",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "550830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090068004",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HOLLIS.GROOM@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2805 S Mayhill Rd",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762085910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Advanced Practice Midwife in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.