Individual provider Active NPI

Lisa Grove

  • Advanced Practice Midwife
  • Dansville, NY
National Provider Identifier
1891163408
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
001703 Issued in NY
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

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04272184MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151022002285 NY Practitioner - Certified Nurse Midwife (CNM) 2668781105 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11020189FLMDAdvanced Practice Midwife
001703NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince May 1, 2025 Accepting new patients
Strong Obstetrics-Gynecology Group CurrentSince Nov 18, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince May 1, 2025 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

  • Direct secure messaging: lgrove225486@direct-guthrie.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.