Sharon Glass Jonquil, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

089000405N5 Issued in OR

Practice address

2800 N Vancouver Ave
Legacy Midwifery Clinic, Ste 255
Portland, OR 97227-1671

Phone

(503) 413-4500

NPI assigned

Mar 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Emanuel Hospital & Health Center

  • Community/Retail Pharmacy
  • Portland, OR
  • NPI 1417977976
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1376510149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 NE 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124030",
            "telephone_number": "503-282-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE",
            "address_2": "LEGACY MIDWIFERY CLINIC, STE 255",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271671",
            "telephone_number": "503-413-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONQUIL",
        "first_name": "SHARON",
        "middle_name": "GLASS",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "089000405N5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "138080",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129580",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Osborn Jones, CRM, CADC-R, CPR/AED
• Zchon Jones, D.C
• Ho-Yann Jong, MD
• Emily Rebecca Jonica, M.D.
• Jonna E Hongo DMD LLC
• Travis Jonquil
• Elliot Joo, MD
• Rej Joo
• Yechaan Joo
• Neda Dee Jooya, MD

• Advanced Practice Midwife in Portland, OR
• Providers in Portland, OR by specialty
• Advanced Practice Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.