Individual provider Active NPI

Jill M Groves, CNM

  • Advanced Practice Midwife
  • Tucson, AZ
National Provider Identifier
1881627370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
521 Issued in NM
Practice address
2595 N Wyatt Dr
Tucson, AZ 85712-6104
Phone
(520) 795-9912
Fax
(520) 795-9934
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 521 NM Primary

Addresses

Primary practice location

2595 N Wyatt Dr
Tucson, AZ 85712-6104

Mailing address

2595 N Wyatt Dr
Tucson, AZ 85712-6104
Phone (520) 795-9912

Other identifiers 1

IdentifierTypeStateIssuer
44457863MedicaidNM

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

LicenseStateTypeSpecialty
521NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Birth and Womens Health Center Inc Advanced Practice Midwife Past Accepting new patients
Associates in Women'S Health Care, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881627370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126104",
            "telephone_number": "520-795-9912",
            "fax_number": "520-795-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126104",
            "telephone_number": "520-795-9912",
            "fax_number": "520-795-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NM",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44457863",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.