Active NPI
Ashley Rose Merrill, LDM, CPM
- Midwife
- Jacksonville, OR
National Provider Identifier
1487922381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- DEM-LD-10152621
- Practice address
- 235 E. Main St.
Jacksonville, OR 97530 - Phone
- (971) 322-7398
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | DEM-LD-10152621 | OR | Primary |
Addresses
Primary practice location
235 E. Main St.
Jacksonville, OR 97530
Mailing address
PO Box 1394
Jacksonville, OR 97530-1394
Phone (971) 322-7398
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 |
|---|---|---|---|
| DEM-LD-10152621 | OR | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1487922381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1394",
"city": "JACKSONVILLE",
"state": "OR",
"postal_code": "975301394",
"telephone_number": "971-322-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 E. MAIN ST.",
"city": "JACKSONVILLE",
"state": "OR",
"postal_code": "97530",
"telephone_number": "971-322-7398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "ASHLEY",
"middle_name": "ROSE",
"credential": "LDM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OR",
"license": "DEM-LD-10152621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.