Active NPI
Christina Carmela Clay, CPM, LDM
- Midwife
- Portland, OR
National Provider Identifier
1487229498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 10214558
- Practice address
- 1608 SE Ankeny St
Portland, OR 97214-1448 - Phone
- (503) 233-3001
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 10214558 | OR | Primary |
Addresses
Primary practice location
1608 SE Ankeny St
Portland, OR 97214-1448
Mailing address
186 SE 124TH Ave
Portland, OR 97233-1014
Phone (971) 808-9656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10214558 | Other | OR | STATE OF OREGON |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10214558 | OR | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1487229498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 SE 124TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331014",
"telephone_number": "971-808-9656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 SE ANKENY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141448",
"telephone_number": "503-233-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "CHRISTINA",
"middle_name": "CARMELA",
"credential": "CPM, LDM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OR",
"license": "10214558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF OREGON",
"identifier": "10214558",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.