Individual provider Active NPI

Nancy Gail Myrick, CNM

  • Advanced Practice Midwife
  • San Francisco, CA
National Provider Identifier
1164450482
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1595 Issued in CA
Practice address
2675 30TH Ave
San Francisco, CA 94116-2932
Phone
(415) 902-7969
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1595 CA Primary

Addresses

Primary practice location

2675 30TH Ave
San Francisco, CA 94116-2932

Mailing address

3029 Anza St
San Francisco, CA 94121-3019
Phone (415) 902-7969

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1595CAMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Birth Center Foundation Current Accepting new patients
San Francisco Birth Center, a Professional Nursing Corporation Current Accepting new patients
San Francisco Birth Center, a Professional Nursing Corporation Current Accepting new patients
Community Birth Group Past Accepting new patients
Private Healthcare Facilities Past Accepting new patients

Locations

2300 Sutter St
Ste 301
San Francisco, CA 94115
Phone (415) 780-0848

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1164450482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 ANZA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213019",
            "telephone_number": "415-902-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 30TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162932",
            "telephone_number": "415-902-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRICK",
        "first_name": "NANCY",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-01-20",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.