Active NPI
Denise Roy, CNM
- Midwife
- Bryn Mawr, PA
National Provider Identifier
1770512386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW008178L
- Practice address
- 918 County Line Rd
Bryn Mawr, PA 19010-2502 - Phone
- (610) 525-6086
- Fax
- (610) 525-1846
- NPI assigned
- Jul 3, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW008178L | PA | Primary |
Addresses
Primary practice location
918 County Line Rd
Bryn Mawr, PA 19010-2502
Mailing address
1037 Redtail Rd
Audubon, PA 19403-1844
Phone (610) 630-3273
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4615720 | Other | PA | USHC PROFESSIONAL |
| 9171253 | Other | PA | PRIVATE HEALTHCARE SYSTEM |
| 89824 | Other | PA | BLUE SHIELD PROFESSIONAL |
| 1835550 | Medicaid | PA | |
| 290891 | Other | PA | MAMSI |
| 01835550-03 | Other | PA | AMERICHOICE-MA |
| 89824 | Other | PA | BLUE CROSS PPO |
| 89824 | Other | PA | KEYSTONE PROFESSIONAL |
| P003418 | Other | PA | CHAMPUS |
| 31021 | Other | PA | AETNA PROFESSIONAL |
| 89824 | Other | PA | PERSONAL CHOICE PROF |
| 62127000 | Other | PA | BLUE CROSS HMO |
| X34384 | Other | PA | AMERIHEALTH ADMIN |
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW008178L | PA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770512386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 REDTAIL RD",
"city": "AUDUBON",
"state": "PA",
"postal_code": "194031844",
"telephone_number": "610-630-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 COUNTY LINE RD",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190102502",
"telephone_number": "610-525-6086",
"fax_number": "610-525-1846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "DENISE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "PA",
"license": "MW008178L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USHC PROFESSIONAL",
"identifier": "4615720",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "9171253",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROFESSIONAL",
"identifier": "89824",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1835550",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "290891",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE-MA",
"identifier": "01835550-03",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PPO",
"identifier": "89824",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE PROFESSIONAL",
"identifier": "89824",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "P003418",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROFESSIONAL",
"identifier": "31021",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE PROF",
"identifier": "89824",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HMO",
"identifier": "62127000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMIN",
"identifier": "X34384",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.