Individual provider Active NPI

Aliaja Allison, LM, CPM

  • Midwife
  • Portland, OR
National Provider Identifier
1518626027
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
425 Issued in FL
Practice address
5039 SE Mill St
Portland, OR 97215-3261
Phone
(727) 316-0295
NPI assigned
Dec 12, 2021
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 425 FL Primary

Addresses

Primary practice location

5039 SE Mill St
Portland, OR 97215-3261

Mailing address

5039 SE Mill St
Portland, OR 97215-3261
Phone (727) 316-0295

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aliaja@bcofstpete.com Health Information Exchange (HIE)
CONNECT URL https://www.bearthsidemidwifery.com Direct

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
425FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bearth Side Midwifery Midwife Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1518626027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 SE MILL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153261",
            "telephone_number": "727-316-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 SE MILL ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153261",
            "telephone_number": "727-316-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "ALIAJA",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aliaja@bcofstpete.com",
            "affiliation": "N",
            "endpointDescription": "desktop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "140 21st Ave S Uppr B",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337052774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.bearthsidemidwifery.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5039 SE Mill St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972153261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 21, 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.

Verify at the official NPI Registry.