LYDIA MARIAH DOUGLAS (NPI# 1295350809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295350809 |
| Entity Type | Individual |
| Full Name | LYDIA MARIAH DOUGLAS |
| Other Name | LYDIA MARIAH MARTINEZ |
| Credential | CPM, LDM |
| Practice Address |
1453 Redwood Cir Grants Pass OR 97527-5523 |
| Practice Telephone | 5419168333 |
| Mailing Telephone | 5419168333 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | DEM-LD-10208453 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON STATE MIDWIFERY LICENSE NUMBER | DEM-LD-10208453 | 01 |
| NORTH AMERICAN REGISTRY OF MIDWIVES | 20060005 | 01 |
| Street Address |
1453 REDWOOD CIR |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780887885 | Amy Catherine Hendrickson | Midwife, Lay | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2007-06-06 |
| 1891302220 | Cassie Lee Grant | Massage Therapist | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2020-09-29 |
| 1982058491 | Rogue Birth Center LLC | Clinic/Center | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2016-04-20 |
| 1245611458 | Willa Anne Woodard Ervin | Midwife | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2015-06-12 |
| 1487993341 | Trillium Waterbirth Center Redwood Clinic | Clinic/Center | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730578311 | Jackie Walker | Midwife | 1417 Ne Talbott Dr, Grants Pass, OR 97526-3544 | 2015-01-20 |
| 1346479300 | Kay Ann Armas | Midwife | 1109 Catherine Way, Grants Pass, OR 97526-4256 | 2009-07-10 |
| 1992948715 | Shauna Kenealey | Midwife | 415 Crystal Springs Rd, Grants Pass, OR 97527 | 2009-04-09 |
| 1245611458 | Willa Anne Woodard Ervin | Midwife | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794306 | Capri Parker | Midwife | 815 Se 223rd Ave Apt 1, Gresham, OR 97030-2540 | 2020-09-10 |
| 1710590377 | Britney Frank | Midwife | 333 Warner Milne Rd Ste C, Oregon City, OR 97045-4123 | 2020-08-24 |
| 1023629185 | Bethany Joy Loehrke | Midwife | 314 Se Beech Ave, Gresham, OR 97080-7723 | 2020-08-12 |
| 1174133664 | Alysa Kristine Merritt | Midwife | 449 N 1st St, Aumsville, OR 97325-9601 | 2020-08-09 |
| 1376185538 | Wilder Midwifery, LLC | Midwife | 405 Ne 3rd St, Mcminnville, OR 97128-6219 | 2019-10-09 |
| 1477194546 | Whitney Wolfe | Midwife | 3604 Nw Marcotte Rd, Portland, OR 97229-2545 | 2019-09-30 |
| 1851942510 | Holly Scholles | Midwife | 4997 Sw Normandy Pl, Beaverton, OR 97005-3635 | 2019-09-24 |
| 1942859137 | Caley Brown | Midwife | 4711 Ne 60th Ave, Portland, OR 97218-2610 | 2019-09-10 |
| 1386204311 | Hannah Joy Swan | Midwife | 761 Sw Washington St, Dallas, OR 97338-3413 | 2019-06-20 |
| 1619534237 | Caitlin K Maddigan | Midwife | 4057 N Concord Ave, Portland, OR 97227-1013 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.