Individual provider Active NPI

Debra Griner, CNM

  • Advanced Practice Midwife
  • Troy, NY
National Provider Identifier
1891227757
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001786-1 Issued in NY
Practice address
2109 15TH St
Troy, NY 12180-3024
Phone
(518) 326-1620
Fax
(518) 326-1622
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001786 NY
Advanced Practice Midwife 367A00000X F001786-1 NY Primary

Addresses

Primary practice location

2109 15TH St
Troy, NY 12180-3024

Mailing address

106 Hickory CT
Troy, NY 12180-6968

Other practice location 1

2215 Burdett Ave Fl 2
Troy, NY 12180-2466
Phone (518) 271-3900

Other practice location 2

145 Vly Rd Ste 8
Niskayuna, NY 12309-2000
Phone (518) 608-4471

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
I20170811000736 NY Practitioner - Certified Nurse Midwife (CNM) 6901177807 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001786NYMDAthletic Trainer
F001786-1NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Feb 17, 2019 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Nov 1, 2018 Accepting new patients

Locations

1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444

713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448

145 Vly Rd
Ste 8
Niskayuna, NY 12309
Phone (518) 608-4471

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2215 Burdett Ave
Fl 2
Troy, NY 12180
Phone (518) 270-3008

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1891227757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HICKORY CT",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121806968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803024",
            "telephone_number": "518-326-1620",
            "fax_number": "518-326-1622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Burdett Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3900",
            "fax_number": "518-271-3914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Vly Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Niskayuna",
            "state": "NY",
            "postal_code": "123092000",
            "country_code": "US",
            "telephone_number": "518-608-4471",
            "fax_number": "518-608-4489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRINER",
        "first_name": "DEBRA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001786",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001786-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.