JESSICA REISS KERSTETTER (NPI# 1114205036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114205036 |
| Entity Type | Individual |
| Full Name | JESSICA REISS KERSTETTER |
| Credential | CNM |
| Practice Address |
177 Ne 102nd Ave Bldg V Portland OR 97220-4169 |
| Mailing Address |
7650 Sw Beveland Rd Suite 200 Portland OR 97223-8692 |
| Practice Telephone | 5037343800 |
| Practice Fax Number | 5037343808 |
| Mailing Telephone | 5038551620 |
| Mailing Fax Number | 5038403299 |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE PTAN | R171436 | 01 |
| OR | 500637294 | 05 |
| Street Address |
177 NE 102ND AVE BLDG V |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922021336 | Robert D Dyson | Obstetrics & Gynecology | 177 Ne 102nd Ave, Portland, OR 97220-4169 | 2006-07-26 |
| 1588942031 | Nicole Brooke Morris | Advanced Practice Midwife | 177 Ne 102nd Ave, # V, Portland, OR 97220-4169 | 2011-08-02 |
| 1043367501 | Lauren S Mackenzie | Advanced Practice Midwife | 177 Ne 102nd Ave, Bldg V, Portland, OR 97220-4169 | 2007-01-05 |
| 1164436028 | Robert D Dyson Md PC | Obstetrics & Gynecology | 177 Ne 102nd Ave, Portland, OR 97220-4169 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593967 | Jessica J Bonilla | Advanced Practice Midwife | 135 Ne 18th Ave Apt 4, Portland, OR 97232-3079 | 2020-09-22 |
| 1902319908 | Kathleen Loretta Strooband | Advanced Practice Midwife | 4240 Se Knapp St, Portland, OR 97206-8436 | 2017-11-13 |
| 1184171738 | Anna Snyder | Advanced Practice Midwife | 7030 N Olin Ave, Portland, OR 97203-4554 | 2016-09-01 |
| 1467895102 | Sarah E Barco Foster | Advanced Practice Midwife | 7135 N Greenwich Ave, Portland, OR 97217-5445 | 2013-04-11 |
| 1780925511 | Timothie Jane Rochon | Advanced Practice Midwife | 5307 Se 18th Ave, Portland, OR 97202-4846 | 2013-03-04 |
| 1982949723 | Christian O'haire | Advanced Practice Midwife | 7650 Sw Beveland St, Suite 200, Women's Healthcare Associates, Portland, OR 97223 | 2012-12-05 |
| 1154685485 | Katie Elizabeth Wright | Advanced Practice Midwife | 2800 N Vancouver Avenue, Suite 255, Portland, OR 97227 | 2012-07-02 |
| 1770866634 | Leah Peterson | Advanced Practice Midwife | 9427 Sw Barnes Rd, Ste 395, Providence Medical Group - Columbia Women's Clinic, Portland, OR 97225 | 2011-09-27 |
| 1659660900 | Angela Christine Truby | Advanced Practice Midwife | 4031 Se Salmon St, Portland, OR 97214-4434 | 2011-04-06 |
| 1003139189 | Margaret R. Zak | Advanced Practice Midwife | 9340 Sw Barnes Road, The Prenatal Clinic, Suite 102, Portland, OR 97225 | 2010-03-03 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.