Madison Nolan Grimes, CDM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

75 Issued in AK

Practice address

1601 Salmon Creek LN
Juneau, AK 99801-7867

Phone

(907) 586-1203

Fax

(907) 586-5765

NPI assigned

Sep 27, 2013

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Madison Nolan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Juneau Family Birth Center

  • Multi-Specialty Clinic/Center
  • Juneau, AK
  • NPI 1962572099
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1851728406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017867",
            "telephone_number": "907-586-1203",
            "fax_number": "907-586-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SALMON CREEK LN",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017867",
            "telephone_number": "907-586-1203",
            "fax_number": "907-586-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN GRIMES",
        "first_name": "MADISON",
        "name_prefix": "Ms.",
        "credential": "CDM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AK",
            "license": "75",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "NOLAN",
            "prefix": "MS.",
            "credential": "CDM, CPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Midwife in Juneau, AK
• Providers in Juneau, AK by specialty
• Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.