Jessica S Ruediger, LDM, CPM, IBCLC
Individual provider Active NPI Midwife · Talent, OR
NPI 1669745972 · NPPES record last updated Mar 20, 2026
Key facts
- NPI
- 1669745972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- DEM-LD-10157698 (OR)
- Practice address
- 584 James St
Talent, OR 97540-9764 - Phone
- (541) 621-6315
- Fax
- (888) 543-0682
- NPI assigned
- Feb 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC-LC-10258362 | OR | MD | Lactation Consultant (Non-RN) |
| DEM-LD-10157698 | OR | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Midwifery, LLC | Lactation Consultant, Non-RN | Current |
Accepting new patients |
| Moonstone Midwifery, LLC | Lactation Consultant, Non-RN | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) |
174N00000X | LC-LC-10258362 | OR | |
| Midwife |
176B00000X | DEM-LD-10157698 | OR | Yes |
Addresses
Primary practice location
584 James St
Talent, OR 97540-9764
Mailing address
584 James St
Talent, OR 97540-9764
Phone (541) 621-6315
Other providers in Talent, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.