Organization Active NPI

Gaia Midwives PLLC

Doing business as Gaia Midwives

  • Advanced Practice Midwife
  • Greenvale, NY
National Provider Identifier
1871003525
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
001788 Issued in NY
Legal business name
GAIA MIDWIVES PLLC
Doing business as
Gaia Midwives
Practice address
90 Glen Cove Rd
Greenvale, NY 11548-1038
Phone
(631) 486-0832
Fax
(631) 504-0723
NPI assigned
Oct 9, 2017
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Ms. Colleen P Heinze, CNMNPI 1821514746
Title
Licensed Midwife
Phone
(423) 505-2056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 001814 NY
Advanced Practice Midwife 367A00000X 001393 NY
Advanced Practice Midwife 367A00000X 001788 NY Primary

Addresses

Primary practice location

90 Glen Cove Rd
Greenvale, NY 11548-1038

Mailing address

PO Box 405
Ridge, NY 11961-0405
Phone (631) 486-0832

Other practice location 1

88 Maple Ave
Smithtown, NY 11787-3502
Phone (631) 486-0832

Other practice location 2

36 E 2nd St
Riverhead, NY 11901-4731
Phone (631) 486-0832

Other practice location 3

1 Village Plz Ste 204
Kings Park, NY 11754-2737
Phone (631) 486-0832

Other names 1

  • Gaia Midwives Doing business as

National Provider Directory

National Provider Directory

Locations

90 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 220-3174

1 Village Plz
Ste 204
Kings Park, NY 11754
Phone (516) 250-3238

Practitioners & affiliated clinicians

Practitioners 4

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": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1871003525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119610405",
            "telephone_number": "631-486-0832",
            "fax_number": "631-504-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GLEN COVE RD",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481038",
            "telephone_number": "631-486-0832",
            "fax_number": "631-504-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873502",
            "country_code": "US",
            "telephone_number": "631-486-0832",
            "fax_number": "631-504-0723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119014731",
            "country_code": "US",
            "telephone_number": "631-486-0832",
            "fax_number": "631-504-0723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Village Plz Ste 204",
            "address_purpose": "LOCATION",
            "city": "Kings Park",
            "state": "NY",
            "postal_code": "117542737",
            "country_code": "US",
            "telephone_number": "631-486-0832",
            "fax_number": "631-504-0723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAIA MIDWIVES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "HEINZE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LICENSED MIDWIFE",
        "authorized_official_telephone_number": "423-505-2056",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001814",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001393",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaia Midwives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenvale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.