Organization Active NPI

Back Cove Midwives

  • Obstetrics & Gynecology Nurse Practitioner
  • Portland, ME
National Provider Identifier
1770895187
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Eileen Grillo, CNMNPI 1275638843
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)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.