NPIMap

Organization Active NPI

Motherwise Community Birth Center

  • Birthing Clinic/Center
  • Bend, OR
National Provider Identifier
1831372929
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
07-1589 Issued in OR
Legal business name
MOTHERWISE COMMUNITY BIRTH CENTER
Practice address
464 NE Norton Ave
Bend, OR 97701-4387
Phone
(541) 318-6961
Fax
(541) 389-5345
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Nicole Tucker, CPM, LM
Title
Midwife, Owner
Phone
(541) 318-6961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 07-1589 OR Primary

Addresses

Primary practice location

464 NE Norton Ave
Bend, OR 97701-4387

Mailing address

464 NE Norton Ave
Bend, OR 97701-4387
Phone (541) 318-6961

National Provider Directory

National Provider Directory

Locations

464 NE Norton Ave
Bend, OR 97701
Phone (541) 323-3358

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1831372929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NE NORTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014387",
            "telephone_number": "541-318-6961",
            "fax_number": "541-389-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NE NORTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014387",
            "telephone_number": "541-318-6961",
            "fax_number": "541-389-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERWISE COMMUNITY BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MIDWIFE, OWNER",
        "authorized_official_telephone_number": "541-318-6961",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "OR",
            "license": "07-1589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.