Active NPI
Lisa Diane Amoruso, CNM
- Advanced Practice Midwife
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP61264348
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | 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.
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.