Active NPI
Kim Aileen McQuoid, MSN, FNP
- Midwife
- Medford, OR
National Provider Identifier
1891792438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 091007322N5
- Practice address
- 221 W Stewart Ave Ste 101
Medford, OR 97501-3609 - Phone
- (541) 690-3500
- NPI assigned
- Jun 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 091007322RN | OR | |
| Family Nurse Practitioner | 363LF0000X | 091007322 | OR | |
| Midwife | 176B00000X | 091007322N5 | OR | Primary |
Addresses
Primary practice location
221 W Stewart Ave Ste 101
Medford, OR 97501-3609
Mailing address
931 Chevy Way
Medford, OR 97504-4127
Phone (541) 690-3555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066857 | Medicaid | OR | |
| 227698 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091007322RN | OR | MD | Registered Nurse |
| 091007322N5 | OR | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica del Valle Family Health Care Center Inc. | Current | Accepting new patients | |
| La Clinica del Valle Family Health Care Center Inc. | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
931 Chevy Way
Medford, OR 97504
Phone (541) 690-3555
3617 S Pacific Hwy
Medford, OR 97501
Phone (541) 512-3182
221 W Stewart Ave
Ste 101
Medford, OR 97501
Phone (541) 690-3500
Interoperability endpoints
- kim.mcquoid.laclinicahealthcenter@jhie.net
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Medford, OR
- NPI 1851327571
-
- Federally Qualified Health Center (FQHC)
- Medford, OR
- NPI 1679896278
-
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1891792438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 CHEVY WAY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044127",
"telephone_number": "541-690-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W STEWART AVE STE 101",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013609",
"telephone_number": "541-690-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUOID",
"first_name": "KIM",
"middle_name": "AILEEN",
"name_prefix": "Miss",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "091007322RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "091007322",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "OR",
"license": "091007322N5",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066857",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227698",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.