Active NPI
Christy Pellicer, L.M., C.P.M, L.D.M.
- Midwife
- Eugene, OR
National Provider Identifier
1366800146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- DEM-LD-10178591
- Practice address
- 27798 Gibralter Loop
Eugene, OR 97405-9737 - Phone
- (904) 485-0796
- NPI assigned
- Feb 8, 2016
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 323 | FL | |
| Midwife | 176B00000X | DEM-LD-10178591 | OR | Primary |
Addresses
Primary practice location
27798 Gibralter Loop
Eugene, OR 97405-9737
Mailing address
27798 Gibralter Loop
Eugene, OR 97405-9737
Phone (904) 485-0796
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 |
|---|---|---|---|
| 323 | FL | MD | Midwife |
| DEM-LD-10178591 | OR | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1366800146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27798 GIBRALTER LOOP",
"city": "EUGENE",
"state": "OR",
"postal_code": "974059737",
"telephone_number": "904-485-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27798 GIBRALTER LOOP",
"city": "EUGENE",
"state": "OR",
"postal_code": "974059737",
"telephone_number": "904-485-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLICER",
"first_name": "CHRISTY",
"credential": "L.M., C.P.M, L.D.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-08",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "323",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OR",
"license": "DEM-LD-10178591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.