Active NPI
Jacquelyn Chlo Griggs, CNM
- Advanced Practice Midwife
- Houston, TX
National Provider Identifier
1467505032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 601019
- Practice address
- 637 W 20TH St
Houston, TX 77008-3617 - Phone
- (713) 505-1802
- Fax
- (888) 473-1877
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 601019 | TX | Primary |
Addresses
Primary practice location
637 W 20TH St
Houston, TX 77008-3617
Mailing address
637 W 20TH St
Houston, TX 77008-3617
Phone (713) 505-1802
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1583718-01 | Medicaid | TX | |
| 601019 | Other | TX | APN LICENSE # |
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 |
|---|---|---|---|
| 601019 | TX | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birth Center of Beaumont PLLC | Advanced Practice Midwife | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Birthing Clinic/Center
- Beaumont, TX
- NPI 1023502390
-
dba Midwife in the Heights
- Advanced Practice Midwife
- Houston, TX
- NPI 1336701655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544313600000",
"number": "1467505032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 W 20TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770083617",
"telephone_number": "713-505-1802",
"fax_number": "888-473-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 W 20TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770083617",
"telephone_number": "713-505-1802",
"fax_number": "888-473-1877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGGS",
"first_name": "JACQUELYN",
"middle_name": "CHLO",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2018-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "TX",
"license": "601019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1583718-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE #",
"identifier": "601019",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.