Amy Jo Rist, CPM, LDM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

10151742 Issued in OR

Practice address

2928 SE Hawthorne Blvd Ste 107
Portland, OR 97214-4147

Phone

(503) 652-8076

Fax

(503) 922-0080

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1548504566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SE HAWTHORNE BLVD # 267",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145246",
            "telephone_number": "503-652-8076",
            "fax_number": "503-922-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 SE HAWTHORNE BLVD STE 107",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144147",
            "telephone_number": "503-652-8076",
            "fax_number": "503-922-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIST",
        "first_name": "AMY JO",
        "credential": "CPM, LDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "10151742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Riskin
• Amanda Leigh Rissberger
• Amanda Leigh Risser, M.D.
• Rebecca A. Rissler, NNP
• Martha Rissmiller, PT
• Melissa Rister, PT
• Hallie Riswold
• Angela Claire Ritacca, MA
• Timothy Ritchey, BOC-O
• Anne Elise Ritchie

• Midwife in Portland, OR
• Providers in Portland, OR by specialty
• Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.