Jennifer L Sanders, LDM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

DEMLD10144711 Issued in OR

Practice address

4861 SE 64TH Ave
Portland, OR 97206-4639

Phone

(503) 467-8697

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1992072789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 SE 64TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064641",
            "telephone_number": "503-467-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 SE 64TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064639",
            "telephone_number": "503-467-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LDM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEMLD10144711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500648827",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collin David Sanders
• David Sebastian Sanders, MD, MPH
• Dayna L Sanders, MSW
• Holden Sanders, AU.D.
• Jeffrey Duane Sanders, LMT
• Kimberly Biggs Sanders, PHYSICIAN ASSISTANT
• Lisa Kendell Sanders, MD
• Mackenzie Sanders, CRM
• Nancy Elizabeth Sanders
• Tamara Patrice Sanders, RN

• Midwife in Portland, OR
• Providers in Portland, OR by specialty
• Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.