JACKIE WALKER (NPI# 1730578311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730578311 |
| Entity Type | Individual |
| Full Name | JACKIE WALKER |
| Credential | LM, CPM |
| Practice Address |
1417 Ne Talbott Dr Grants Pass OR 97526-3544 |
| Practice Telephone | 8056103943 |
| Mailing Telephone | 8056103943 |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 421 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON HEALTH AUTHORITY LICENSE | 10183250 | 01 |
| CA | CALIFORNIA MEDICAL BOARD | 421 | 01 |
| Street Address |
1417 NE TALBOTT DR |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1295350809 | Lydia Mariah Douglas | Midwife | 1453 Redwood Cir, Grants Pass, OR 97527-5523 | 2020-06-09 |
| 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 | 97526 |
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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.