Individual provider Active NPI

Lauren Stum, BSM, CPM, LDM

  • Midwife
  • Newberg, OR
National Provider Identifier
1497132815
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
DEM-LD-10168844 Issued in OR
Practice address
208 E Illinois St
Newberg, OR 97132-2327
Phone
(503) 747-8412
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 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 DEM-LD-10168844 OR Primary

Addresses

Primary practice location

208 E Illinois St
Newberg, OR 97132-2327

Mailing address

1530 E 1St St
Newberg, OR 97132-3237
Phone (503) 487-6018

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
DEM-LD-10168844ORMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1497132815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323237",
            "telephone_number": "503-487-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E ILLINOIS ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322327",
            "telephone_number": "503-747-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUM",
        "first_name": "LAUREN",
        "credential": "BSM, CPM, LDM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEM-LD-10168844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.