Active NPI
Marisa Irene Gilman, DNP, CNM, ARNP
- Obstetrics & Gynecology Nurse Practitioner
- Portland, OR
National Provider Identifier
1497511760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 10033269
- Practice address
- 1608 SE Ankeny St
Portland, OR 97214-1448 - Phone
- (503) 233-3001
- NPI assigned
- Feb 26, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | 202212292RN | OR | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 10033269 | OR | Primary |
Addresses
Primary practice location
1608 SE Ankeny St
Portland, OR 97214-1448
Mailing address
11205 SW Boxwood CT
Tigard, OR 97223-4220
Phone (503) 382-9108
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202212292RN | OR | MD | Maternal Newborn Registered Nurse |
| 10033269 | OR | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alma Midwifery Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Birthing Clinic/Center
- Portland, OR
- NPI 1952545766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1497511760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11205 SW BOXWOOD CT",
"city": "TIGARD",
"state": "OR",
"postal_code": "972234220",
"telephone_number": "503-382-9108"
},
{
"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": "GILMAN",
"first_name": "MARISA",
"middle_name": "IRENE",
"credential": "DNP, CNM, ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "OR",
"license": "202212292RN",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "OR",
"license": "10033269",
"primary": true
}
],
"identifiers": [],
"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 Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.