Organization Active NPI

Healing Tides Midwifery LLC

  • Birthing Clinic/Center
  • Brookings, OR
National Provider Identifier
1083533392
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
HEALING TIDES MIDWIFERY LLC
Practice address
937 Chetco Ave Ste I
Brookings, OR 97415-2562
Phone
(707) 218-4323
Fax
(541) 787-6140
NPI assigned
Jul 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Tiffany Van Maren, CPM, LDM, LMNPI 1710724273
Title
Owner/Manager
Phone
(707) 218-4323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X Primary

Addresses

Primary practice location

937 Chetco Ave Ste I
Brookings, OR 97415-2562

Mailing address

937 Chetco Ave Ste I
Brookings, OR 97415-2562
Phone (707) 218-4323

National Provider Directory

National Provider Directory

Locations

937 Chetco Ave
Ste I
Brookings, OR 97415
Phone (541) 254-9101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1083533392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 CHETCO AVE STE I",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974152562",
            "telephone_number": "707-218-4323",
            "fax_number": "541-787-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 CHETCO AVE STE I",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974152562",
            "telephone_number": "707-218-4323",
            "fax_number": "541-787-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TIDES MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "VAN MAREN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "707-218-4323",
        "authorized_official_credential": "CPM, LDM, LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.