Active NPI
Jennifer Suzanne Grieco Desmarais, CPM, RM, LM
- Midwife
- Windsor, CO
National Provider Identifier
1598055774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM298
- Practice address
- 1832 Windfall Dr.
Windsor, CO 80550 - Phone
- (949) 929-7153
- NPI assigned
- Apr 8, 2011
- 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 | 298 | CA | |
| Midwife | 176B00000X | LM298 | CA | Primary |
Addresses
Primary practice location
1832 Windfall Dr.
Windsor, CO 80550
Mailing address
1832 Windfall Dr.
Windsor, CO 80550
Phone (949) 929-7153
Other practice location 1
35756 Damascus St
Yucaipa, CA 92399-5113
Phone (909) 747-7750
Other practice location 2
36389 Highland Ave
Yucaipa, CA 92399-9727
Phone (949) 929-7153
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.jengrieco.com | Direct |
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 |
|---|---|---|---|
| 298 | CA | MD | Midwife |
| LM298 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1598055774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 WINDFALL DR.",
"city": "WINDSOR",
"state": "CO",
"postal_code": "80550",
"telephone_number": "949-929-7153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1832 WINDFALL DR.",
"city": "WINDSOR",
"state": "CO",
"postal_code": "80550",
"telephone_number": "949-929-7153"
}
],
"practiceLocations": [
{
"address_1": "35756 Damascus St",
"address_purpose": "LOCATION",
"city": "Yucaipa",
"state": "CA",
"postal_code": "923995113",
"country_code": "US",
"telephone_number": "909-747-7750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36389 Highland Ave",
"address_purpose": "LOCATION",
"city": "Yucaipa",
"state": "CA",
"postal_code": "923999727",
"country_code": "US",
"telephone_number": "949-929-7153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIECO DESMARAIS",
"first_name": "JENNIFER",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "CPM, RM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2022-11-29",
"certification_date": "2022-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "CA",
"license": "298",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM298",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.jengrieco.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1832 Windfall Dr.",
"city": "Windsor",
"state": "CO",
"country_code": "US",
"postal_code": "80550",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Windsor, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.