Individual provider Active NPI

Hannah Payseno, CPM, LDM

  • Midwife
  • Keizer, OR
National Provider Identifier
1417356668
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
10221134 Issued in OR
Practice address
1156 Dearborn Ave NE
Keizer, OR 97303-3806
Phone
(503) 269-4114
NPI assigned
Aug 13, 2014
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 10221134 OR Primary
Doula 374J00000X 1015967-99 OR

Addresses

Primary practice location

1156 Dearborn Ave NE
Keizer, OR 97303-3806

Mailing address

1156 Dearborn Ave NE
Keizer, OR 97303-3806
Phone (503) 269-4114

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

LicenseStateTypeSpecialty
10221134ORMDMidwife
1015967-99ORMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1417356668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 DEARBORN AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033806",
            "telephone_number": "503-269-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 DEARBORN AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033806",
            "telephone_number": "503-269-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYSENO",
        "first_name": "HANNAH",
        "credential": "CPM, LDM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-13",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "10221134",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "1015967-99",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.