Active NPI
Heather Madigan Pollock Green, CPM, RM
- Midwife
- Del Norte, CO
National Provider Identifier
1508188079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- #111
- Practice address
- 8406 Grande Ave
Del Norte, CO 81132-2208 - Phone
- (719) 588-2417
- NPI assigned
- Feb 24, 2010
- Last updated
- Feb 24, 2010
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | #111 | CO | Primary |
Addresses
Primary practice location
8406 Grande Ave
Del Norte, CO 81132-2208
Mailing address
8406 Grande Ave
Del Norte, CO 81132-2208
Phone (719) 588-2417
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 |
|---|---|---|---|
| #111 | CO | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1508188079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8406 GRANDE AVE",
"city": "DEL NORTE",
"state": "CO",
"postal_code": "811322208",
"telephone_number": "719-588-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8406 GRANDE AVE",
"city": "DEL NORTE",
"state": "CO",
"postal_code": "811322208",
"telephone_number": "719-588-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK GREEN",
"first_name": "HEATHER",
"middle_name": "MADIGAN",
"credential": "CPM, RM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CO",
"license": "#111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Norte, CO
- Lutheran Hospital Association of the San Luis Valley (SLV Regional Medical Center)
- Daniel Macdougall
- Obstetrix Medical Group of Colorado, P.C. (Rocky Mountain Pediatric Cardiology)
- Debra S Parra, NURSE PRACTITIONER
- Jon Lee Peterson, MD
- Rick Rabon, MD
- Thomas Kevin Rice, M.D.
- Christopher D Riddick, LMT
- Rio Grande Oltc
- Rio Grande Pharmacy LLC (Rio Grande Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.