Bridge Town Midwifery, Inc

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

BRIDGE TOWN MIDWIFERY, INC

Practice address

5557 NE Going St
Portland, OR 97218-2630

Phone

(971) 444-2641

Fax

(971) 999-7000

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Kelsey A Fisher, MSM, LDM, CPMNPI 1710248851

Title

Owner

Phone

(971) 444-2641

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelsey Alice Fisher, MSM, LDM, CPM

  • Midwife
  • Portland, OR
  • NPI 1710248851
  NPD Authorized official

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1992262349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5557 NE GOING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182630",
            "telephone_number": "971-444-2641",
            "fax_number": "971-999-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5557 NE GOING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182630",
            "telephone_number": "971-444-2641",
            "fax_number": "971-999-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE TOWN MIDWIFERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-444-2641",
        "authorized_official_credential": "MSM, LDM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 21, 2022; 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.