Individual provider Active NPI

Doris Lynn Reagen, CNM

  • Advanced Practice Midwife
  • Santa Barbara, CA
National Provider Identifier
1710939418
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
518 Garden St
Santa Barbara, CA 93101-1606
Phone
(805) 899-9818
Fax
(805) 963-6722
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

518 Garden St
Santa Barbara, CA 93101-1606

Mailing address

518 Garden St
Santa Barbara, CA 93101-1606
Phone (805) 899-9818

Other identifiers 1

IdentifierTypeStateIssuer
135812905MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
848CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1710939418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 GARDEN ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011606",
            "telephone_number": "805-899-9818",
            "fax_number": "805-963-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 GARDEN ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011606",
            "telephone_number": "805-899-9818",
            "fax_number": "805-963-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGEN",
        "first_name": "DORIS",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135812905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.