Active NPI
Deirdre Catherine Poe, CNM
- Advanced Practice Midwife
- Greensboro, NC
National Provider Identifier
1710057930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 39
- Practice address
- 801 Green Valley Rd
Greensboro, NC 27408-7021 - Phone
- (336) 832-6614
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 39 | NC | Primary |
Addresses
Primary practice location
801 Green Valley Rd
Greensboro, NC 27408-7021
Mailing address
801 Green Valley Rd
Greensboro, NC 27408-7021
Phone (336) 832-6614
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7002059 | Medicaid | NC | |
| 2592532A | Other | NC | MEDICARE PTAN |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39 | NC | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1710057930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 GREEN VALLEY RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087021",
"telephone_number": "336-832-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 GREEN VALLEY RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087021",
"telephone_number": "336-832-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POE",
"first_name": "DEIRDRE",
"middle_name": "CATHERINE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "39",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7002059",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2592532A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.