Organization Active NPI

Salem Midwife Collective LLC

  • Midwife
  • Salem, OR
National Provider Identifier
1235900911
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
SALEM MIDWIFE COLLECTIVE LLC
Practice address
180 Ramsgate SQ S
Salem, OR 97302-5864
Phone
(503) 436-7414
Fax
(503) 506-6902
NPI assigned
Jan 11, 2024
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Anja Desa FarinNPI 1700155900
Title
Member, Midwife
Phone
(920) 915-8951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NU
Midwife 176B00000X NU Primary

Addresses

Primary practice location

180 Ramsgate SQ S
Salem, OR 97302-5864

Mailing address

342 Monmouth Ave S
Monmouth, OR 97361-2110
Phone (503) 436-7414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1235900911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 MONMOUTH AVE S",
            "city": "MONMOUTH",
            "state": "OR",
            "postal_code": "973612110",
            "telephone_number": "503-436-7414",
            "fax_number": "503-506-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 RAMSGATE SQ S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025864",
            "telephone_number": "503-436-7414",
            "fax_number": "503-506-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM MIDWIFE COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "FARIN",
        "authorized_official_first_name": "ANJA",
        "authorized_official_middle_name": "DESA",
        "authorized_official_title_or_position": "MEMBER, MIDWIFE",
        "authorized_official_telephone_number": "920-915-8951"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.