Elizabeth Gardziola, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

10024870 Issued in OR

Practice address

188 W B St Ste O
Springfield, OR 97477-4593

Phone

(458) 234-6800

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Tullis Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

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.

• Lane County Midwifery and Family Care

  • Advanced Practice Midwife
  • Springfield, OR
  • NPI 1518545789
  Medicare reassignment NPD
• Our Community Birth Center

  • Birthing Clinic/Center
  • Springfield, OR
  • NPI 1811575079
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1013763838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W B ST STE O",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W B ST STE O",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774593",
            "telephone_number": "458-234-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDZIOLA",
        "first_name": "ELIZABETH",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10024870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TULLIS",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Garcia
• Suzanne Stevens Garcia, PA-C
• Alan Joseph Garcin, ACNP
• Kate Lynn Gardner, DO
• Lindsey Leigh Gardner, M.D.
• Sara Garfinkel
• Jennifer L. Garland-Warren
• Rosa Garnatz, PT, DPT
• Lois Lee Garner, M.D.
• Stephen Gregory Garratt, FNP

• Advanced Practice Midwife in Springfield, OR
• Providers in Springfield, OR by specialty
• Advanced Practice Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.