Tracy Lee Stevens, CNM/WHNP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

201901674NP-PP Issued in OR

Practice address

2222 NE 130TH Ave
Portland, OR 97230-1705

Phone

(503) 754-6296

NPI assigned

Jun 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tracy Lee Perry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1760043673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NE 130TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301705",
            "telephone_number": "503-754-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NE 130TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301705",
            "telephone_number": "503-754-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "credential": "CNM/WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "201903006NP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201901674NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "PERRY",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Stevens, RN
• Mikayla Brianne Stevens, MD
• Sam J Stevens, MS, LMFT
• Samara Loren Stevens, ND
• Scott W Stevens, MD
• Zachary Joel Stevens, PA-C
• Ellen B Stevenson, MD
• Glenda Stevenson
• Katherine Rose Stevenson
• Rachel N Stevenson, RN

• Advanced Practice Midwife in Portland, OR
• Providers in Portland, OR by specialty
• Advanced Practice Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; 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.