Individual provider Active NPI

Christy Skieens, CNM

  • Advanced Practice Midwife
  • Eugene, OR
National Provider Identifier
1174009096
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
201906716NP-PP Issued in OR
Practice address
590 Country Club Pkwy Ste B
Eugene, OR 97401
Phone
(541) 686-2922
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 235959 CA
Advanced Practice Midwife 367A00000X 201906716NP-PP OR Primary

Addresses

Primary practice location

590 Country Club Pkwy Ste B
Eugene, OR 97401

Mailing address

PO Box 70368
Springfield, OR 97475-0120
Phone (541) 390-6133

Other practice location 1

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8128

Other practice location 2

3309 Renner Dr
Fortuna, CA 95540-3119
Phone (707) 496-1828

Other practice location 3

3300 Renner Dr
Fortuna, CA 95540-3198
Phone (707) 725-3361

Other identifiers 1

IdentifierTypeStateIssuer
500767066MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20210730002061 MT Practitioner - Certified Nurse Midwife (CNM) 4688903669 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235959CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Hands Midwifery and Family Healthcare PLLC Advanced Practice Midwife CurrentSince Jul 19, 2021 Accepting new patients
Logan Health - Whitefish Past Accepting new patients

Locations

770 W Reserve Dr
Ste 3
Kalispell, MT 59901
Phone (406) 300-4511

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1174009096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70368",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974750120",
            "telephone_number": "541-390-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COUNTRY CLUB PKWY STE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-686-2922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Dolbeer St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014736",
            "country_code": "US",
            "telephone_number": "707-445-8128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3309 Renner Dr",
            "address_purpose": "LOCATION",
            "city": "Fortuna",
            "state": "CA",
            "postal_code": "955403119",
            "country_code": "US",
            "telephone_number": "707-496-1828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Renner Dr",
            "address_purpose": "LOCATION",
            "city": "Fortuna",
            "state": "CA",
            "postal_code": "955403198",
            "country_code": "US",
            "telephone_number": "707-725-3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKIEENS",
        "first_name": "CHRISTY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235959",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201906716NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500767066",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.