Active NPI
Lisa Gartin, RN MSN CNM
- Advanced Practice Midwife
- Eugene, OR
National Provider Identifier
1982939385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 202101553NP-PP
- Practice address
- 3579 Franklin Blvd
Eugene, OR 97403-2356 - Phone
- (541) 344-9411
- NPI assigned
- Oct 2, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 493347 | CA | |
| Advanced Practice Midwife | 367A00000X | 235668 | CA | |
| Advanced Practice Midwife | 367A00000X | APRN002228 | NV | |
| Doula | 374J00000X | |||
| Advanced Practice Midwife | 367A00000X | 202101553NP-PP | OR | Primary |
Addresses
Primary practice location
3579 Franklin Blvd
Eugene, OR 97403-2356
Mailing address
3579 Franklin Blvd
Eugene, OR 97403-2356
Phone (541) 344-9411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202101553NP-PP | Other | OR | OREGON LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 493347 | CA | MD | Registered Nurse |
| 202101553NP-PP | OR | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Physician Services LLC | Current | Accepting new patients | |
| Planned Parenthood of Southwestern Oregon | Past | Accepting new patients | |
| Planned Parenthood of Southwestern Oregon | Past | Accepting new patients |
Locations
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
Interoperability endpoints
- lgartin@yourcarecommunity.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Non-Surgical Family Planning Clinic/Center
- Springfield, OR
- NPI 1154451615
-
- Non-Surgical Family Planning Clinic/Center
- Eugene, OR
- NPI 1730435884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1982939385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3579 FRANKLIN BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974032356",
"telephone_number": "541-344-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3579 FRANKLIN BLVD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974032356",
"telephone_number": "541-344-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARTIN",
"first_name": "LISA",
"name_prefix": "Mrs.",
"credential": "RN MSN CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-02",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "493347",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "235668",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NV",
"license": "APRN002228",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "202101553NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON LICENSE",
"identifier": "202101553NP-PP",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.