Individual provider Active NPI

Alyson Dawn Larkin, CD, THW

  • Doula
  • McMinnville, OR
National Provider Identifier
1932777067
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
THW000104582 Issued in OR
Practice address
17506 SW Masonville Rd
McMinnville, OR 97128-8564
Phone
(503) 975-2324
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X THW000104582 OR Primary

Addresses

Primary practice location

17506 SW Masonville Rd
McMinnville, OR 97128-8564

Mailing address

17506 SW Masonville Rd
McMinnville, OR 97128-8564
Phone (503) 975-2324

Other practice location 1

1001 N Providence Dr
Newberg, OR 97132-7485
Phone (503) 537-1758

Other practice location 2

2700 SE Stratus Ave
McMinnville, OR 97128-6239
Phone (503) 975-2324

Other identifiers 1

IdentifierTypeStateIssuer
THW000104582OtherTRADITIONAL HEALTH WORKER (THW) REGISTRY NUMBER

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
THW000104582ORMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Yamhill Valley Community Doulas, Inc. Doula Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1932777067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17506 SW MASONVILLE RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288564",
            "telephone_number": "503-975-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17506 SW MASONVILLE RD",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288564",
            "telephone_number": "503-975-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971327485",
            "country_code": "US",
            "telephone_number": "503-537-1758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 SE Stratus Ave",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971286239",
            "country_code": "US",
            "telephone_number": "503-975-2324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "ALYSON",
        "middle_name": "DAWN",
        "credential": "CD, THW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "THW000104582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL HEALTH WORKER (THW) REGISTRY NUMBER",
            "identifier": "THW000104582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.