Active NPI
Melanie Dawn Thornton-Huycke, CNM
- Advanced Practice Midwife
- Rockville, MD
National Provider Identifier
1861622755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AC000694
- Practice address
- 9711 Medical Center Dr
Suite 109
Rockville, MD 20850-3323 - Phone
- (301) 762-5501
- Fax
- (301) 309-8727
- NPI assigned
- Jul 25, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AC000694 | MD | Primary |
| Advanced Practice Midwife | 367A00000X | R071031 | MD |
Addresses
Primary practice location
9711 Medical Center Dr
Suite 109
Rockville, MD 20850-3323
Mailing address
3017 N Nottingham St
Arlington, VA 22207-1269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419321100 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R071031 | MD | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1861622755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017 N NOTTINGHAM ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 MEDICAL CENTER DR",
"address_2": "SUITE 109",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503323",
"telephone_number": "301-762-5501",
"fax_number": "301-309-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON-HUYCKE",
"first_name": "MELANIE",
"middle_name": "DAWN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-25",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "AC000694",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "R071031",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "419321100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.