Active NPI
Angela Christine Truby, CPM, LDM
- Midwife
- Portland, OR
National Provider Identifier
1659660900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- DEM-LD-10141448
- Practice address
- 4031 SE Salmon St
Portland, OR 97214-4434 - Phone
- (971) 275-6106
- NPI assigned
- Apr 6, 2011
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW60804965 | WA | |
| Midwife | 176B00000X | DEM-LD-10141448 | OR | Primary |
Addresses
Primary practice location
4031 SE Salmon St
Portland, OR 97214-4434
Mailing address
4031 SE Salmon St
Portland, OR 97214-4434
Phone (971) 275-6106
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEM-LD-10141448 | OR | MD | Midwife |
| MW60804965 | WA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glow Midwifery | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22154/brand/1/csg/1/fhir/r4
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 1578902474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1659660900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4031 SE SALMON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144434",
"telephone_number": "971-275-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 SE SALMON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144434",
"telephone_number": "971-275-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUBY",
"first_name": "ANGELA",
"middle_name": "CHRISTINE",
"credential": "CPM, LDM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW60804965",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OR",
"license": "DEM-LD-10141448",
"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 Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.