Active NPI
Jacqueline Elaine Rowan, CPM, LDEM, THW
- Lay Midwife
- Williams, OR
National Provider Identifier
1336340744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- DEM-LD-10118762
- Practice address
- 2015 Caves Camp Road
Williams, OR 97544 - Phone
- (541) 846-8954
- Fax
- (541) 846-8954
- NPI assigned
- May 31, 2007
- Last updated
- Jan 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | DEM-LD-10118762 | OR | Primary |
| Doula | 374J00000X | THW000110192 | OR |
Addresses
Primary practice location
2015 Caves Camp Road
Williams, OR 97544
Mailing address
PO Box 112
Williams, OR 97544-0112
Phone (541) 973-8793
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 |
|---|---|---|---|
| DEM-LD-10118762 | OR | MD | Lay Midwife |
| THW000110192 | OR | MD | Doula |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Midwifery | Midwife, Lay | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1336340744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 112",
"city": "WILLIAMS",
"state": "OR",
"postal_code": "975440112",
"telephone_number": "541-973-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 CAVES CAMP ROAD",
"city": "WILLIAMS",
"state": "OR",
"postal_code": "97544",
"telephone_number": "541-846-8954",
"fax_number": "541-846-8954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWAN",
"first_name": "JACQUELINE",
"middle_name": "ELAINE",
"credential": "CPM, LDEM, THW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "OR",
"license": "DEM-LD-10118762",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "OR",
"license": "THW000110192",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williams, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.