Active NPI
Debra Sue Degram, CNM
- Advanced Practice Midwife
- Holland, MI
National Provider Identifier
1346331139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704132616
- Practice address
- 664 Michigan Ave
Holland, MI 49423-4944 - Phone
- (616) 392-5973
- Fax
- (616) 392-1646
- NPI assigned
- Sep 27, 2006
- 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 | 4704132616 | MI | Primary |
Addresses
Primary practice location
664 Michigan Ave
Holland, MI 49423-4944
Mailing address
664 Michigan Ave
Holland, MI 49423-4944
Phone (616) 392-5973
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0876976 | Other | MI | BCBSM IND. PIN |
| 420G012010 | Other | MI | BCBSM GRP PIN |
| DF4619 | Other | MI | MEDICARE RR GRP PIN |
| 0G01201 | Other | MI | MEDICARE GRP PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | debradegram@obgynahpc.allscriptsdirect.net |
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
Interoperability endpoints
- debradegram@obgynahpc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1346331139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234944",
"telephone_number": "616-392-5973",
"fax_number": "616-392-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 MICHIGAN AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234944",
"telephone_number": "616-392-5973",
"fax_number": "616-392-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAM",
"first_name": "DEBRA",
"middle_name": "SUE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704132616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM IND. PIN",
"identifier": "0876976",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GRP PIN",
"identifier": "420G012010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR GRP PIN",
"identifier": "DF4619",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP PIN",
"identifier": "0G01201",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "debradegram@obgynahpc.allscriptsdirect.net",
"affiliation": "N",
"address_1": "664 Michigan Ave",
"city": "Holland",
"state": "MI",
"country_code": "US",
"postal_code": "494234944",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.