Active NPI
Laura R O'Bryan, LDEM, CPM
- Midwife
- Murray, UT
National Provider Identifier
1083931273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 9428425-3400
- Practice address
- 5417 S Knollcrest St
Murray, UT 84107-6208 - Phone
- (801) 330-9834
- NPI assigned
- Apr 27, 2010
- 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 | 9428425-3400 | UT | Primary |
Addresses
Primary practice location
5417 S Knollcrest St
Murray, UT 84107-6208
Mailing address
5417 S Knollcrest St
Murray, UT 84107-6208
Phone (801) 330-9834
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 |
|---|---|---|---|
| 9428425-3400 | UT | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1083931273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5417 S KNOLLCREST ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076208",
"telephone_number": "801-330-9834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5417 S KNOLLCREST ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076208",
"telephone_number": "801-330-9834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRYAN",
"first_name": "LAURA",
"middle_name": "R",
"credential": "LDEM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-27",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "UT",
"license": "9428425-3400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.