Individual provider Active NPI

Nicole Suzanne Staniger, CPM, LM

  • Midwife
  • Westwood, CA
National Provider Identifier
1619254521
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
99150 Issued in TX
Practice address
214 Greenwood St
Westwood, CA 96137
Phone
(530) 520-8682
Fax
(972) 278-9065
NPI assigned
Nov 5, 2011
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
99150TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Birth Group Past Accepting new patients
Edge Medical Services Past Accepting new patients
Private Healthcare Facilities Past Accepting new patients

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 99150 TX Primary
Midwife 176B00000X CA

Addresses

Primary practice location

214 Greenwood St
Westwood, CA 96137

Mailing address

PO Box 1840
Westwood, CA 96137
Phone (530) 520-8682

Other names 1

  • Nicole Suzanne Demartimprey Former name

NPI Registry JSON

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1619254521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1840",
            "city": "WESTWOOD",
            "state": "CA",
            "postal_code": "96137",
            "telephone_number": "530-520-8682",
            "fax_number": "972-278-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 GREENWOOD ST",
            "city": "WESTWOOD",
            "state": "CA",
            "postal_code": "96137",
            "telephone_number": "530-520-8682",
            "fax_number": "972-278-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANIGER",
        "first_name": "NICOLE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99150",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DEMARTIMPREY",
            "middle_name": "SUZANNE",
            "credential": "CPM, LM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.