Active NPI
Nicole Suzanne Staniger, CPM, LM
- Midwife
- Westwood, CA
National Provider Identifier
1619254521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 99150
- 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.
-
- General Acute Care Hospital
- Westwood, CA
- NPI 1457827701
-
- Birthing Clinic/Center
- Westwood, CA
- NPI 1588493654
-
- Birthing Clinic/Center
- Westwood, CA
- NPI 1801362157
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 |
|---|---|---|---|
| 99150 | TX | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New 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
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 | 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
NPI Registry JSON
{
"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.