Individual provider Active NPI

Lisa Gartin, RN MSN CNM

  • Advanced Practice Midwife
  • Eugene, OR
National Provider Identifier
1982939385
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
202101553NP-PP Issued in OR
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

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202101553NP-PPOtherOROREGON 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518002809 OR Practitioner - Certified Nurse Midwife (CNM) 8426277369 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
493347CAMDRegistered Nurse
202101553NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Physician Services LLC CurrentSince Apr 5, 2021 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

  • Direct secure messaging: lgartin@yourcarecommunity.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.