Active NPI
Marina Rachelle Andaluz-Bates, LM, CPM
- Midwife
- Tulsa, OK
National Provider Identifier
1043055544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MIDW0051
- Practice address
- 6925 S Canton Ave
Tulsa, OK 74136-3418 - Phone
- (918) 932-8164
- NPI assigned
- Jun 26, 2024
- 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 | MIDW0051 | OK | Primary |
Addresses
Primary practice location
6925 S Canton Ave
Tulsa, OK 74136-3418
Mailing address
6925 S Canton Ave
Tulsa, OK 74136-3418
Phone (918) 932-8164
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 |
|---|---|---|---|
| MIDW0051 | OK | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1043055544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6925 S CANTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363418",
"telephone_number": "918-932-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 S CANTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741363418",
"telephone_number": "918-932-8164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDALUZ-BATES",
"first_name": "MARINA",
"middle_name": "RACHELLE",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "OK",
"license": "MIDW0051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.