Individual provider Active NPI

Denise Roy, CNM

  • Midwife
  • Bryn Mawr, PA
National Provider Identifier
1770512386
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW008178L Issued in PA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4615720OtherPAUSHC PROFESSIONAL
9171253OtherPAPRIVATE HEALTHCARE SYSTEM
89824OtherPABLUE SHIELD PROFESSIONAL
1835550MedicaidPA
290891OtherPAMAMSI
01835550-03OtherPAAMERICHOICE-MA
89824OtherPABLUE CROSS PPO
89824OtherPAKEYSTONE PROFESSIONAL
P003418OtherPACHAMPUS
31021OtherPAAETNA PROFESSIONAL
89824OtherPAPERSONAL CHOICE PROF
62127000OtherPABLUE CROSS HMO
X34384OtherPAAMERIHEALTH 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

LicenseStateTypeSpecialty
MW008178LPAMDMidwife

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.

Verify at the official NPI Registry.