Individual provider Active NPI

Celeste Renee Groenenberg, CPM, LM

  • Midwife
  • Chelsea, MI
National Provider Identifier
1346643954
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
7601000033 Issued in MI
Practice address
8000 Werkner Road
Chelsea, MI 48118-9145
Phone
(734) 747-0205
Fax
(734) 480-8827
NPI assigned
Sep 27, 2014
Last updated
Aug 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 7601000033 MI Primary

Addresses

Primary practice location

8000 Werkner Road
Chelsea, MI 48118-9145

Mailing address

8000 Werkner Road
Chelsea, MI 48118-9145
Phone (734) 747-0205

Other names 1

  • Celeste Renee Flatt Other name

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

State licenses

LicenseStateTypeSpecialty
7601000033MIMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1346643954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 WERKNER ROAD",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189145",
            "telephone_number": "734-747-0205",
            "fax_number": "734-480-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 WERKNER ROAD",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481189145",
            "telephone_number": "734-747-0205",
            "fax_number": "734-480-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROENENBERG",
        "first_name": "CELESTE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MI",
            "license": "7601000033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "FLATT",
            "middle_name": "RENEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.