Abigail Quinn Lindsey Peterson, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

DEM-LD-10249457 Issued in OR

Practice address

13160 Jerusalem Hill Rd NW
Salem, OR 97304-9622

Phone

(503) 315-2229

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Abby Peterson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1447072889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 JERUSALEM HILL RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973049622",
            "telephone_number": "503-315-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 JERUSALEM HILL RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973049622",
            "telephone_number": "503-315-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ABIGAIL",
        "middle_name": "QUINN LINDSEY",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEM-LD-10249457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "PETERSON",
            "credential": "CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara Jacqueline Petersen, PT
• Chris Albert Petersen, PAC
• Rocio Petersen, MS, RDN
• Savanah Danielle Marie Petersen, MSW
• Peterson Chiropractic Clinic
• Amara Lenore Peterson
• Christina Marie Peterson, R.D.H
• Diana Peterson, M.S, CCC-A
• Jessica Peterson, RD
• Jodi Leann Peterson, RN

• Midwife in Salem, OR
• Providers in Salem, OR by specialty
• Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.