Active NPI
Nancy Macmorris-Adix, CNM
- Advanced Practice Midwife
- Salem, OR
National Provider Identifier
1578518601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 78041759
- Practice address
- 1535 State St
Salem, OR 97301-4255 - Phone
- (503) 364-3787
- Fax
- (503) 763-3595
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 78041759 | OR | Primary |
Addresses
Primary practice location
1535 State St
Salem, OR 97301-4255
Mailing address
PO Box 278
Woodburn, OR 97071-0278
Phone (971) 983-5260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024740 | Medicaid | OR |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78041759 | OR | MD | Advanced Practice Midwife |
Interoperability endpoints
- nmacmorrisadix138270@direct.lhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1578518601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970710278",
"telephone_number": "971-983-5260",
"fax_number": "971-982-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 STATE ST",
"city": "SALEM",
"state": "OR",
"postal_code": "973014255",
"telephone_number": "503-364-3787",
"fax_number": "503-763-3595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMORRIS-ADIX",
"first_name": "NANCY",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "78041759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024740",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.