Active NPI
Laura M Roe, LDEM
- Lay Midwife
- Ashland, OR
National Provider Identifier
1174743736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- 0618606833
- Practice address
- 487 Rock St
Ashland, OR 97520-1634 - Phone
- (541) 482-6067
- Fax
- (541) 482-6067
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | 0618606833 | OR | Primary |
Addresses
Primary practice location
487 Rock St
Ashland, OR 97520-1634
Mailing address
487 Rock St
Ashland, OR 97520-1634
Phone (541) 482-6067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000316 | Medicaid | OR |
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 |
|---|---|---|---|
| 0618606833 | OR | MD | Lay Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174743736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 ROCK ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201634",
"telephone_number": "541-482-6067",
"fax_number": "541-482-6067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "487 ROCK ST",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201634",
"telephone_number": "541-482-6067",
"fax_number": "541-482-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROE",
"first_name": "LAURA",
"middle_name": "M",
"credential": "LDEM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "OR",
"license": "0618606833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000316",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.