Active NPI
Holly B Frost, CNM
- Advanced Practice Midwife
- South Portland, ME
National Provider Identifier
1205047792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 024695
- Practice address
- 100 Brickhill Ave Ste 304
South Portland, ME 04106-1999 - Phone
- (207) 761-4700
- Fax
- (207) 761-4744
- NPI assigned
- May 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 024695 | ME | Primary |
Addresses
Primary practice location
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
Mailing address
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
Phone (207) 761-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432787099 | Medicaid | ME | |
| 30346324 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024695 | ME | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Northern New England, Inc | Past | Accepting new patients | |
| The Medical Group Department of Goodall Hospital | Past | Accepting new patients | |
| Mousam Valley Orthopaedics PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Sanford, ME
- NPI 1043374044
-
- Family Medicine Physician
- Kennebunk, ME
- NPI 1356356869
-
dba Planned Parenthood
- Obstetrics & Gynecology Physician
- Colchester, VT
- NPI 1578529350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1205047792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BRICKHILL AVE STE 304",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061999",
"telephone_number": "207-761-4700",
"fax_number": "207-761-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRICKHILL AVE STE 304",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061999",
"telephone_number": "207-761-4700",
"fax_number": "207-761-4744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "HOLLY",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ME",
"license": "024695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432787099",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30346324",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.