Active NPI
Tara Jeanine Mansius
- Midwife
- Ogden, UT
National Provider Identifier
1760970263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- DEM-LD10189489
- Practice address
- 5319 S 500 E Ste C
Ogden, UT 84405-7218 - Phone
- (801) 516-0576
- NPI assigned
- Apr 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | DEM-LD10189489 | OR | Primary |
Addresses
Primary practice location
5319 S 500 E Ste C
Ogden, UT 84405-7218
Mailing address
515 S Center St
Oregon City, OR 97045-2938
Phone (360) 600-2008
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEM-LD10189489 | OR | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1760970263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 S CENTER ST",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970452938",
"telephone_number": "360-600-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5319 S 500 E STE C",
"city": "OGDEN",
"state": "UT",
"postal_code": "844057218",
"telephone_number": "801-516-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSIUS",
"first_name": "TARA",
"middle_name": "JEANINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OR",
"license": "DEM-LD10189489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.