Active NPI
Catherine F Pelosi, CNM
- Advanced Practice Midwife
- Portland, OR
National Provider Identifier
1700867710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 077037797N5
- Practice address
- 9555 SW Barnes Rd
Suite 100
Portland, OR 97225-6663 - Phone
- (503) 292-3577
- Fax
- (503) 292-3947
- NPI assigned
- Nov 7, 2005
- 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 | 077037797N5 | OR | Primary |
Addresses
Primary practice location
9555 SW Barnes Rd
Suite 100
Portland, OR 97225-6663
Mailing address
7650 SW Beveland Rd
Suite 200
Portland, OR 97223-8692
Phone (503) 292-3577
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R158566 | Other | OR | MEDICARE PTAN |
| 004221 | 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 |
|---|---|---|---|
| 077037797N5 | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Healthcare Associates, LLC | Past | Accepting new patients | |
| Northwest Urology, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Portland, OR
- NPI 1629461397
-
- Specialist
- Portland, OR
- NPI 1346296142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1700867710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SW BEVELAND RD",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238692",
"telephone_number": "503-292-3577",
"fax_number": "503-292-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 SW BARNES RD",
"address_2": "SUITE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256663",
"telephone_number": "503-292-3577",
"fax_number": "503-292-3947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOSI",
"first_name": "CATHERINE",
"middle_name": "F",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "077037797N5",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "R158566",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004221",
"state": "OR"
}
],
"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 Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.