NPIMap

Individual provider Active NPI

Betty Fay Griffith, LDM

  • Midwife
  • Salem, OR
National Provider Identifier
1912102401
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
DEM-LD-926225 Issued in OR
Practice address
7745 Sunnyside Rd SE
Salem, OR 97306-9537
Phone
(503) 362-2791
Fax
(503) 362-2791
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X DEM-LD-926225 OR
Midwife 176B00000X DEM-LD-926225 OR Primary

Addresses

Primary practice location

7745 Sunnyside Rd SE
Salem, OR 97306-9537

Mailing address

7745 Sunnyside Rd SE
Salem, OR 97306-9537
Phone (503) 362-2791

Other identifiers 1

IdentifierTypeStateIssuer
139142MedicaidOR

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

LicenseStateTypeSpecialty
DEM-LD-926225ORMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1912102401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 SUNNYSIDE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069537",
            "telephone_number": "503-362-2791",
            "fax_number": "503-362-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7745 SUNNYSIDE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069537",
            "telephone_number": "503-362-2791",
            "fax_number": "503-362-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "BETTY",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "LDM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "OR",
            "license": "DEM-LD-926225",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEM-LD-926225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139142",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.