Active NPI
Thelma B Grant
- Midwife
- Baldwin, NY
National Provider Identifier
1497090476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- F000025
- Practice address
- 1323 Tanwood Dr.
Baldwin, NY 11510 - Phone
- (516) 546-8516
- NPI assigned
- Dec 3, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | F000025 | NY | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | F360293 | NY |
Addresses
Primary practice location
1323 Tanwood Dr.
Baldwin, NY 11510
Mailing address
1323 Tanwood Drive
Baldwin, NY 11510
Phone (516) 546-8516
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
| License | State | Type | Specialty |
|---|---|---|---|
| F000025 | NY | MD | Midwife |
| F360293 | NY | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1497090476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 TANWOOD DRIVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "11510",
"telephone_number": "516-546-8516",
"fax_number": "516-546-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 TANWOOD DR.",
"city": "BALDWIN",
"state": "NY",
"postal_code": "11510",
"telephone_number": "516-546-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "THELMA",
"middle_name": "B",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-03",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "F000025",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "F360293",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.