Lisa K Ellingford, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

1320 E Sr 119
Richfield, UT 84701-9407

Phone

(435) 201-1492

NPI assigned

Apr 10, 2020

Last updated

Apr 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1740809714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E SR 119",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847019407",
            "telephone_number": "435-201-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E SR 119",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847019407",
            "telephone_number": "435-201-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGFORD",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taychatum Tane Day-Damrongsiri
• Jesse Dewey, DO
• Mikkel Dunn
• Dakota Eckersley
• Curtis Eliason
• Sara Autumn Ellsworth
• Kilee Elmer
• Epic Prosthetics and Orthotics LLC
• Ashley Evans
• Desra Evans

• Midwife in Richfield, UT
• Providers in Richfield, UT by specialty
• Midwife in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.