Individual provider Active NPI

Patricia M. McBride, RNP CNM

  • Women's Health Nurse Practitioner
  • Salem, OR
National Provider Identifier
1316971955
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
079011474N5 NMNP PP Issued in OR
Practice address
1395 Liberty St SE
Salem, OR 97302-4273
Phone
(503) 399-2444
Fax
(503) 581-3960
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 079011474N5 NMNP PP OR Primary

Addresses

Primary practice location

1395 Liberty St SE
Salem, OR 97302-4273

Mailing address

1395 Liberty St SE
Salem, OR 97302-4273
Phone (503) 399-2444

Other identifiers 1

IdentifierTypeStateIssuer
129572MedicaidOR

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
079011474N5 NMNP PPORMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1316971955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024273",
            "telephone_number": "503-399-2444",
            "fax_number": "503-581-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024273",
            "telephone_number": "503-399-2444",
            "fax_number": "503-581-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "PATRICIA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "RNP CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "079011474N5 NMNP PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129572",
            "state": "OR"
        }
    ],
    "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 Oct 11, 2012; 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.