Grace Patricia Dible, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

09000360A Issued in IN

Practice address

951 Mariners Island Blvd Ste 300
San Mateo, CA 94404-1560

Phone

(650) 285-6927

Fax

(888) 352-7383

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grace.dible@91098514915332.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthnet, Inc.

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1780634964
  Medicare reassignment NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1114525789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 ORANGE ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031932",
            "telephone_number": "312-479-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MARINERS ISLAND BLVD STE 300",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041560",
            "telephone_number": "650-285-6927",
            "fax_number": "888-352-7383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Orange St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462031932",
            "country_code": "US",
            "telephone_number": "312-479-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 N Pennsylvania St Ste 1610",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042448",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBLE",
        "first_name": "GRACE",
        "middle_name": "PATRICIA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000360A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grace.dible@thepillclub.com",
            "affiliation": "N",
            "address_1": "951 Mariners Island Blvd Ste 300",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944041560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Brittany Diaz
• Cristina Faviola Diaz, FNP
• Deborah Marie Diaz, LCSW
• Shannon Diaz
• Sonia Diaz
• Elizabeth Dickson
• Dirk Ross Diefendorf, M.D.
• Fred Arthur Diercks, DDS
• Paul Arthur Diercks, DDS
• Shelby Christin Diethelm

• Advanced Practice Midwife in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.

Verify at the official NPI Registry.