MS. CAROL BRYAN (NPI# 1558437608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558437608 |
| Entity Type | Individual |
| Full Name | MS. CAROL BRYAN |
| Credential | CNM NP PP |
| Practice Address |
1672 Church Ave Mckinleyville CA 95519-2504 |
| Mailing Address |
1672 Church Ave Mckinleyville CA 95519-4203 |
| Practice Telephone | 5306254349 |
| Mailing Telephone | 5306254349 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2012-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
447699 | CA | Nursing Service Providers |
| N | 176B00000X | Midwife | 200510068NP | OR | Other Service Providers |
| Y | 176B00000X | Midwife | NMW1244 | CA | Other Service Providers |
| N | 363L00000X | Nurse Practitioner | 200150068NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 279942 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 000853 | 05 |
| Street Address |
1672 CHURCH AVE |
| City | MCKINLEYVILLE |
| State | CA |
| Zip Code | 95519-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174555 | Humboldt County Behavioral Health | Community/Behavioral Health | 1615 Heartwood Drive, Mckinleyville, CA 95519 | 2020-04-30 |
| 1417518291 | Erika Adams | Dental Hygienist | 2050 Silkwood St, Mckinleyville, CA 95519 | 2019-06-24 |
| 1275808354 | Laurie Goldberg Sanders | Behavioral Analyst | 1116 Hayes Rd, Mckinleyville, CA 95519 | 2012-03-21 |
| 1295956381 | Ralph Leroy Davis | Dentist | 1661 Picket Ave, Mckinleyville, CA 95519 | 2007-05-02 |
| 1598858169 | Open Door Community Health Centers | Clinic/Center | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| 1508887001 | Cindy Siemens | Counselor | 1660 Central Av, Ste I, Mckinleyville, CA 95519 | 2006-07-21 |
| 1134630148 | Yvonne Lynn Guido | Counselor | 1560 Betty Ct Ste A, Mckinleyville, CA 95519 | 2017-10-17 |
| 1043307853 | Nathan Ransom Copple | Family Medicine | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-05 |
| 1083700710 | Reilley Mullin | Nurse Practitioner | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-04 |
| 1457444192 | Glorie Lorrie Williamson | Registered Nurse | 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 | 2006-10-02 |
| Find all providers in zip 95519 | ||||
| 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 |
|---|---|---|---|---|
| 1639453715 | Tracy Lynn Lough | Midwife | 85 River View Ln, Mckinleyville, CA 95519-9263 | 2011-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445481 | Ananda Szerman | Midwife | 3350 Michelle Ct, Simi Valley, CA 93063-1019 | 2020-10-20 |
| 1922605914 | Jordan Joy Mccart | Midwife | 1148 Spazier Ave Apt B, Glendale, CA 91201-3771 | 2020-10-03 |
| 1629675772 | Amanda Latham | Midwife | 33690 Almond St, Wildomar, CA 92595-8752 | 2020-10-01 |
| 1093322406 | Catalina Francesca Betty Clark | Midwife | 3203 Johnston Ave, Redondo Beach, CA 90278-1520 | 2020-09-29 |
| 1831706795 | Kelly Jensen | Midwife | 1745 Harold Rd, Escondido, CA 92026-1822 | 2020-09-24 |
| 1548875255 | Charlee Haller | Midwife | 5632 Silverado Trl, Napa, CA 94558-9412 | 2020-09-09 |
| 1699387217 | Brittany Eldridge | Midwife | 71 Bemis St, San Francisco, CA 94131-3019 | 2020-08-17 |
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1225653900 | Kimberly Riego Catbagan Bongcaron | Midwife | 12 Aster Ln, Compton, CA 90221-3823 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
| City | MCKINLEYVILLE |
| Zip Code | 95519 |
Please comment or provide details below to improve the information on MS. CAROL BRYAN.
| 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.