Individual provider Active NPI

Blyss Young, LM, CPM

  • Midwife
  • Ashland, OR
National Provider Identifier
1477094514
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM485 Issued in CA
Practice address
950 Tolman Creek Rd
Ashland, OR 97520-1461
Phone
(310) 663-3706
Fax
(541) 362-1217
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lay MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 175M00000X OR
Midwife 176B00000X LM485 CA Primary

Addresses

Primary practice location

950 Tolman Creek Rd
Ashland, OR 97520-1461

Mailing address

950 Tolman Creek Rd
Ashland, OR 97520-1461
Phone (310) 663-3706

Other practice location 1

405 N La Patera Ln
Goleta, CA 93117-1509
Phone (310) 663-3706

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
LM485CAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1477094514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TOLMAN CREEK RD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201461",
            "telephone_number": "310-663-3706",
            "fax_number": "541-362-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TOLMAN CREEK RD",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201461",
            "telephone_number": "310-663-3706",
            "fax_number": "541-362-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N La Patera Ln",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "931171509",
            "country_code": "US",
            "telephone_number": "310-663-3706",
            "fax_number": "541-362-1217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BLYSS",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.