Active NPI
Vicki Legrand Latham, CNM
- Midwife
- Greensboro, NC
National Provider Identifier
1114099041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 165
- Practice address
- 3200 Northline Ave.
Ste 130
Greensboro, NC 27408-7600 - Phone
- (336) 286-6565
- Fax
- (336) 286-6566
- NPI assigned
- Nov 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 165 | NC | |
| Midwife | 176B00000X | 165 | NC | Primary |
Addresses
Primary practice location
3200 Northline Ave.
Ste 130
Greensboro, NC 27408-7600
Mailing address
3200 Northline Ave.
Ste 130
Greensboro, NC 27408-7600
Phone (336) 286-6565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7821 | Other | NC | ACNM CERTIFICATE NUMBER |
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
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5801 Postal Rd
Cleveland, OH 44181-2184
PO Box
Belfast, ME 04915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165 | NC | MD | Advanced Practice Midwife |
Interoperability endpoints
- vicki.latham.1@7773.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1114099041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 NORTHLINE AVE.",
"address_2": "STE 130",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087600",
"telephone_number": "336-286-6565",
"fax_number": "336-286-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 NORTHLINE AVE.",
"address_2": "STE 130",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087600",
"telephone_number": "336-286-6565",
"fax_number": "336-286-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAM",
"first_name": "VICKI",
"middle_name": "LEGRAND",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "165",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NC",
"license": "165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACNM CERTIFICATE NUMBER",
"identifier": "7821",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.