Active NPI
Lisa Grove
- Advanced Practice Midwife
- Dansville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 001703
- Practice address
- 111 Clara Barton St
Dansville, NY 14437-9503 - Phone
- (585) 335-2296
- NPI assigned
- Sep 14, 2015
- 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 | APRN11020189 | FL | |
| Advanced Practice Midwife | 367A00000X | 001703 | NY | Primary |
Addresses
Primary practice location
111 Clara Barton St
Dansville, NY 14437-9503
Mailing address
601 Elmwood Ave Box 668
Rochester, NY 14642-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04272184 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11020189 | FL | MD | Advanced Practice Midwife |
| 001703 | NY | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Strong Obstetrics-Gynecology Group | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Corning Hospital | Past | Accepting new patients | |
| Cayuga Medical Center at Ithaca | Past | Accepting new patients |
Locations
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
3 Guthrie Dr
Corning, NY 14830
Phone (607) 973-8000
111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100
601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Interoperability endpoints
- lgrove225486@direct-guthrie.org
- lgrove505582@direct.urmc.rochester.edu
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1184668311
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Corning, NY
- NPI 1346241973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1891163408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 668",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLARA BARTON ST",
"city": "DANSVILLE",
"state": "NY",
"postal_code": "144379503",
"telephone_number": "585-335-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11020189",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "001703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04272184",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.