Individual provider Active NPI

Lisa Diane Amoruso, CNM

  • Advanced Practice Midwife
  • Vancouver, WA
National Provider Identifier
1154074680
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP61264348 Issued in WA
Practice address
900 NE 139TH St Ste 206
Vancouver, WA 98685-2519
Phone
(360) 487-1360
NPI assigned
Feb 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 202201206NP-PP OR
Advanced Practice Midwife 367A00000X AP61264348 WA Primary

Addresses

Primary practice location

900 NE 139TH St Ste 206
Vancouver, WA 98685-2519

Mailing address

18109 NE 259TH St
Battle Ground, WA 98604-9712
Phone (360) 823-6961

Other practice location 1

2800 N Vancouver Ave
Portland, OR 97227-1630
Phone (503) 413-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20241015003623 WA Practitioner - Certified Nurse Midwife (CNM) 7012301641 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Oct 9, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 9, 2024 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

900 NE 139th St
Ste 206
Vancouver, WA 98685
Phone (360) 433-0022

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2101 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 256-2640

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1154074680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 NE 259TH ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049712",
            "telephone_number": "360-823-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 139TH ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852519",
            "telephone_number": "360-487-1360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Vancouver Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271630",
            "country_code": "US",
            "telephone_number": "503-413-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMORUSO",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "202201206NP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61264348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.