Active NPI
Back Cove Midwives
- Obstetrics & Gynecology Nurse Practitioner
- Portland, ME
National Provider Identifier
1770895187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Legal business name
- BACK COVE MIDWIVES
- Practice address
- 527 Ocean Ave
Portland, ME 04103-4972 - Phone
- (207) 871-0666
- NPI assigned
- Jul 14, 2010
- Last updated
- Jul 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen Grillo, CNM
- Title
- Owner
- Phone
- (207) 871-0666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ME | Primary |
Addresses
Primary practice location
527 Ocean Ave
Portland, ME 04103-4972
Mailing address
527 Ocean Ave
Portland, ME 04103-4972
Phone (207) 871-0666
National Provider Directory
National Provider DirectoryLocations
527 Ocean Ave
Portland, ME 04103
Phone (207) 573-7424
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Midwife
- Portland, ME
- NPI 1275638843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1770895187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 OCEAN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041034972",
"telephone_number": "207-871-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 OCEAN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041034972",
"telephone_number": "207-871-0666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK COVE MIDWIVES",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "GRILLO",
"authorized_official_first_name": "EILEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-871-0666",
"authorized_official_credential": "CNM"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "ME",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.