Active NPI
Bonnie Lynne McLellan, CNM
- Advanced Practice Midwife
- Saint Helens, OR
National Provider Identifier
1629166699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 090006443N5
- Practice address
- 2370 Gable Rd
Saint Helens, OR 97051-2913 - Phone
- (503) 366-3828
- Fax
- (503) 397-1424
- NPI assigned
- Oct 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 090006443N5 | OR | Primary |
Addresses
Primary practice location
2370 Gable Rd
Saint Helens, OR 97051-2913
Mailing address
2370 Gable Rd
Saint Helens, OR 97051-2913
Phone (503) 366-3828
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 |
|---|---|---|---|
| 090006443N5 | OR | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629166699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 GABLE RD",
"city": "SAINT HELENS",
"state": "OR",
"postal_code": "970512913",
"telephone_number": "503-366-3828",
"fax_number": "503-397-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 GABLE RD",
"city": "SAINT HELENS",
"state": "OR",
"postal_code": "970512913",
"telephone_number": "503-366-3828",
"fax_number": "503-397-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLELLAN",
"first_name": "BONNIE",
"middle_name": "LYNNE",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "090006443N5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Helens, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.