Individual provider Active NPI

Eileen Elizabeth Denomme, C.P.M.

  • Midwife
  • Utica, MI
National Provider Identifier
1578737730
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
12080015
Practice address
11111 Hall Rd Ste 15
Utica, MI 48317-5711
Phone
(586) 337-0393
NPI assigned
Apr 18, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 12080015 Primary

Addresses

Primary practice location

11111 Hall Rd Ste 15
Utica, MI 48317-5711

Mailing address

15477 Grovedale St
Roseville, MI 48066-4017
Phone (586) 337-0393

Other practice location 1

15477 Grovedale St
Roseville, MI 48066-4017
Phone (586) 337-0393

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

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578737730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15477 GROVEDALE ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664017",
            "telephone_number": "586-337-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 HALL RD STE 15",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175711",
            "telephone_number": "586-337-0393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15477 Grovedale St",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480664017",
            "country_code": "US",
            "telephone_number": "586-337-0393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENOMME",
        "first_name": "EILEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "C.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": "12080015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.