Individual provider Active NPI

Ashley Booth Ulmer, MSN, CNM, ARNP

  • Advanced Practice Midwife
  • Portland, OR
National Provider Identifier
1497040331
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
201500124NP-PP Issued in OR
Practice address
10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone
(503) 261-4423
Fax
(503) 261-4424
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00174879 WA
Advanced Practice Midwife 367A00000X APRN1936 CA
Advanced Practice Midwife 367A00000X AP60268381 WA
Advanced Practice Midwife 367A00000X ARNP 9236524 FL
Advanced Practice Midwife 367A00000X 201500124NP-PP OR Primary

Addresses

Primary practice location

10101 SE Main St Ste 3001
Portland, OR 97216-2458

Mailing address

10101 SE Main St Ste 3001
Portland, OR 97216-2458
Phone (503) 261-4423

Other practice location 1

10566 SE Washington St
Portland, OR 97216-2809
Phone (503) 855-1220

Other identifiers 2

IdentifierTypeStateIssuer
500680783MedicaidOR
R231394OtherORMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150306001425 OR Practitioner - Certified Nurse Midwife (CNM) 7911121421 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN1936CAMDAdvanced Practice Midwife
ARNP 9236524FLMDAdvanced Practice Midwife
201500124NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Oct 17, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 30, 2023 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 30, 2023 Accepting new patients
Portland Adventist Medical Center Current Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

10101 SE Main St
Ste 3001
Portland, OR 97216
Phone (503) 255-2667

Interoperability endpoints

  • Direct secure messaging: aulmer152403@direct.ohsu.edu
  • Direct secure messaging: aulmer218232@direct.lhs.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1497040331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-4423",
            "fax_number": "503-261-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SE MAIN ST STE 3001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162458",
            "telephone_number": "503-261-4423",
            "fax_number": "503-261-4424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10566 SE Washington St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972162809",
            "country_code": "US",
            "telephone_number": "503-855-1220",
            "fax_number": "503-855-1229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULMER",
        "first_name": "ASHLEY",
        "middle_name": "BOOTH",
        "credential": "MSN, CNM, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00174879",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "APRN1936",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60268381",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP 9236524",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201500124NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500680783",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R231394",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.