Individual provider Active NPI

Sharon Marie Malloy-Grochowski, DOULA

  • Doula
  • Orland Park, IL
National Provider Identifier
1306178744
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
11267 W 159TH St
Orland Park, IL 60467-4416
Phone
(708) 846-6993
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X NU Primary

Addresses

Primary practice location

11267 W 159TH St
Orland Park, IL 60467-4416

Mailing address

19732 S Skidmore CT
Frankfort, IL 60423-8939
Phone (815) 534-5480

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

Practice roles

OrganizationSpecialtyStatusNew patients
6 Essentials Integrative Health 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1306178744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19732 S SKIDMORE CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238939",
            "telephone_number": "815-534-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11267 W 159TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674416",
            "telephone_number": "708-846-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOY-GROCHOWSKI",
        "first_name": "SHARON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.