Individual provider Active NPI

Ash Elizabeth Johnsdottir, CPM LDM

  • Midwife
  • Corvallis, OR
National Provider Identifier
1467831511
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
DEMLD10169961 Issued in OR
Practice address
152 NE Conifer Blvd Apt B
Corvallis, OR 97330-4676
Phone
(541) 908-9188
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X DEMLD10169961 OR Primary

Addresses

Primary practice location

152 NE Conifer Blvd Apt B
Corvallis, OR 97330-4676

Mailing address

152 NE Conifer Blvd Apt B
Corvallis, OR 97330-4676
Phone (541) 908-9188

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
DEMLD10169961ORMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432252800000",
    "number": "1467831511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 NE CONIFER BLVD APT B",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304676",
            "telephone_number": "541-908-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 NE CONIFER BLVD APT B",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304676",
            "telephone_number": "541-908-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSDOTTIR",
        "first_name": "ASH",
        "middle_name": "ELIZABETH",
        "credential": "CPM LDM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEMLD10169961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.