Active NPI
Patricia Gross, LM
- Midwife
- Roanoke, TX
National Provider Identifier
1992165880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 99264
- Practice address
- 309 N Pine St # 103
Roanoke, TX 76262-6637 - Phone
- (817) 366-4562
- Fax
- (682) 831-9979
- NPI assigned
- Mar 4, 2016
- Last updated
- Mar 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 99264 | TX | Primary |
Addresses
Primary practice location
309 N Pine St # 103
Roanoke, TX 76262-6637
Mailing address
520 Oak Hills Dr
Newark, TX 76071-3144
Phone (817) 366-4562
Other names 1
- Mrs. Patricia Gross
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99264 | TX | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kueo Birth Center, PLLC | Current | Accepting new patients |
Organizations & group practices 1
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": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457049600000",
"number": "1992165880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 OAK HILLS DR",
"city": "NEWARK",
"state": "TX",
"postal_code": "760713144",
"telephone_number": "817-366-4562",
"fax_number": "682-831-9979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 N PINE ST # 103",
"city": "ROANOKE",
"state": "TX",
"postal_code": "762626637",
"telephone_number": "817-366-4562",
"fax_number": "682-831-9979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-04",
"last_updated": "2016-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "99264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "GROSS",
"prefix": "MRS.",
"credential": "LM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.