Active NPI
Olivia Erickson, CPM, LTM, CLC
- Midwife
- Saint Paul, MN
National Provider Identifier
1285358341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 1112
- Practice address
- 968 Grand Ave
Saint Paul, MN 55105-3014 - Phone
- (651) 895-2520
- Fax
- (833) 449-3321
- NPI assigned
- Oct 3, 2022
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 1112 | MN | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | 343324 | MN |
Addresses
Primary practice location
968 Grand Ave
Saint Paul, MN 55105-3014
Mailing address
968 Grand Ave
Saint Paul, MN 55105-3014
Phone (651) 895-2520
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
| License | State | Type | Specialty |
|---|---|---|---|
| 343324 | MN | MD | Lactation Consultant (Non-RN) |
| 1112 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy E Johnson-Grass | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Twin Cities Birth Center
- Birthing Clinic/Center
- Saint Paul, MN
- NPI 1649593716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1285358341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 GRAND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053014",
"telephone_number": "651-895-2520",
"fax_number": "833-449-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 GRAND AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053014",
"telephone_number": "651-895-2520",
"fax_number": "833-449-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "OLIVIA",
"credential": "CPM, LTM, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MN",
"license": "1112",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "MN",
"license": "343324",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.