Active NPI
Emily Diane Dove-Medows, RN, CNM
- Advanced Practice Midwife
- Southfield, MI
National Provider Identifier
1790044246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704270742
- Practice address
- 22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712 - Phone
- (248) 849-3401
- Fax
- (248) 849-4106
- NPI assigned
- May 3, 2012
- 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 | 4704270742 | MI | Primary |
Addresses
Primary practice location
22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712
Mailing address
22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712
Phone (248) 849-3401
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-0898
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704270742 | MI | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1790044246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22255 GREENFIELD RD STE 352",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753712",
"telephone_number": "248-849-3401",
"fax_number": "248-849-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22255 GREENFIELD RD STE 352",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753712",
"telephone_number": "248-849-3401",
"fax_number": "248-849-4106"
}
],
"practiceLocations": [
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-0898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOVE-MEDOWS",
"first_name": "EMILY",
"middle_name": "DIANE",
"credential": "RN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704270742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Kimberly T Douglas
- Diamond Douglass, R.N.
- Selina Douglass
- Stephanie Douiahy, FNP-BC
- Christina Doulaverakis, M.D.
- Christina Downey-Biechler, DO
- Aylin Deniz Downey, D.O.
- Kasey Downing
- Downriver Mental Health Clinic (Advanced Counseling Services)
- Downriver Mental Health Clinic PC (Advanced Counseling Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.