Individual provider Active NPI

Rebecca Ruth Barlow, CNM

  • Advanced Practice Midwife
  • Astoria, OR
National Provider Identifier
1669095782
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
235850 Issued in CA
Practice address
1406 Marine Dr
Astoria, OR 97103-3808
Phone
(509) 539-3985
NPI assigned
May 22, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 202004894NP-PP OR
Advanced Practice Midwife 367A00000X 235850 CA Primary

Addresses

Primary practice location

1406 Marine Dr
Astoria, OR 97103-3808

Mailing address

1406 Marine Dr
Astoria, OR 97103-3808
Phone (503) 468-0650

Other practice location 1

1210 Whitney Ranch Pkwy Unit 526
Rocklin, CA 95765-5387
Phone (469) 475-3329

Other identifiers 1

IdentifierTypeStateIssuer
202004894NP-PPOtherORNURSE PRACTITIONER - MIDWIFERY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address NichLaHaiti@MobileMidwifeEHR.net Direct Nich La, Inc
Direct Messaging Address Astoriabirthcenter@mobilemidwife.net Direct Astoria Birth Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230223000061 CA Practitioner - Certified Nurse Midwife (CNM) 6901279975 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
235850CAMDAdvanced Practice Midwife
202004894NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Marshall Medical Center CurrentSince Jan 1, 2023 Accepting new patients

Locations

1095 Marshall Way
Ste 201
Placerville, CA 95667
Phone (530) 344-5470

Interoperability endpoints

  • Direct secure messaging: astoriabirthcenter@mobilemidwife.net
  • Direct secure messaging: nichlahaiti@mobilemidwifeehr.net

Organizations & group practices 2

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1669095782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033808",
            "telephone_number": "503-468-0650",
            "fax_number": "503-376-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033808",
            "telephone_number": "509-539-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Whitney Ranch Pkwy Unit 526",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957655387",
            "country_code": "US",
            "telephone_number": "469-475-3329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "REBECCA",
        "middle_name": "RUTH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "202004894NP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "235850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER - MIDWIFERY",
            "identifier": "202004894NP-PP",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NichLaHaiti@MobileMidwifeEHR.net",
            "affiliation": "Y",
            "endpointDescription": "Mobile Midwife",
            "affiliationName": "Nich La, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1210 Whitney Ranch Pkwy Unit 526",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "957655387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Astoriabirthcenter@mobilemidwife.net",
            "affiliation": "Y",
            "endpointDescription": "Secure Email",
            "affiliationName": "Astoria Birth Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1406 Marine Dr",
            "city": "Astoria",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971033808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

Verify at the official NPI Registry.