BACK COVE MIDWIVES (NPI# 1770895187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770895187 |
| Entity Type | Organization |
| Organization Name | BACK COVE MIDWIVES |
| Practice Address |
527 Ocean Ave Portland ME 04103-4972 |
| Practice Telephone | 2078710666 |
| Mailing Telephone | 2078710666 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | EILEEN GRILLO (OWNER) |
| Authorized Official Telephone | 2078710666 |
| Authorized Official Credential | CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
527 OCEAN AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-4972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407889157 | Leah Coplon | Nurse Practitioner | 527 Ocean Ave, Portland, ME 04101 | 2006-07-08 |
| 1306404660 | Grace Elaine Crozier | Behavior Technician | 527 Ocean Ave, Portland, ME 04103-4972 | 2019-06-03 |
| 1174097323 | Lauren A Hallberg | Behavior Technician | 527 Ocean Ave, Portland, ME 04103-4972 | 2019-01-21 |
| 1568936011 | Jensen Victoria Jones | Behavioral Analyst | 527 Ocean Ave, Portland, ME 04103-4972 | 2019-01-17 |
| 1518457043 | Sarah Noel Maimone | Behavior Technician | 527 Ocean Ave, Portland, ME 04103-4972 | 2018-05-10 |
| 1629586888 | Holly Del Selva | Behavior Technician | 527 Ocean Ave, Portland, ME 04103-4972 | 2018-01-22 |
| 1700245495 | Sherry Renee Plemons | Counselor | 527 Ocean Ave, Portland, ME 04103-4972 | 2016-02-23 |
| 1659690683 | Jerri L Walker | Advanced Practice Midwife | 527 Ocean Ave, Portland, ME 04103-4972 | 2010-06-01 |
| 1134247745 | Jennifer Gilbert | Advanced Practice Midwife | 527 Ocean Ave, Portland, ME 04103-4972 | 2007-03-26 |
| 1063517654 | Stacy Brenner | Midwife | 527 Ocean Ave, Portland, ME 04103-4972 | 2006-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291146 | Menopause Northwest, LLC | Nurse Practitioner | 2712 Se 43rd Ave, Portland, OR 97206-1608 | 2020-09-29 |
| 1275611733 | Adria Yvonne Goodness | Nurse Practitioner | 833 S.w. 11th Ave., Suite 915, Portland, OR 97205 | 2006-11-01 |
| 1336169911 | Virginia Lois Capan | Nurse Practitioner | 3181 Sw Jackson Park Blvd, Oregon Health & Science University, Portland, OR 97239 | 2006-07-19 |
| 1407889157 | Leah Coplon | Nurse Practitioner | 527 Ocean Ave, Portland, ME 04101 | 2006-07-08 |
| 1477934644 | Juliana Baron | Nurse Practitioner | 11750 Sw Barnes Rd, Suite 300, Portland, OR 97225-5911 | 2015-06-14 |
| 1700284445 | Yael Offer | Nurse Practitioner | 1608 Se Ankeny St, Portland, OR 97214-1448 | 2014-12-11 |
| 1679821672 | Sandra Sue Karp | Nurse Practitioner | 9555 Sw Barnes Rd, Suite 100, Portland, OR 97225-6663 | 2012-08-22 |
| 1861771230 | Miriam Nehama Rosenberg | Nurse Practitioner | 5050 Ne Hoyt St, Suite 353, Portland, OR 97213-2991 | 2011-08-16 |
| 1881910859 | Lydia Marie Hammond | Nurse Practitioner | 11750 Sw Barnes Road, Suite 300, Portland, OR 97225-5911 | 2010-04-15 |
| 1316139447 | Anna Gabriele Gregory Spann | Nurse Practitioner | 2705 E Burnside St, Ste 114, Portland, OR 97214-1763 | 2007-08-13 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.