BROOKLYNNE OLDS TRAVIS


Address: 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514
Phone: 5416862922

BROOKLYNNE OLDS TRAVIS (NPI# 1730710930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730710930
Entity Type Individual
Full Name BROOKLYNNE OLDS TRAVIS
Credential CNM, DNP
Practice Address 3100 Martin Luther King Jr Pkwy
Springfield
OR 97477-7514
Mailing Address Po Box 70368
Springfield
OR 97475-0120
Practice Telephone 5416862922
Mailing Telephone 5414852777
Mailing Fax Number 5412462353
Enumeration Date 2020-01-28
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 176B00000X Midwife OR Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3333 Riverbend Dr, Springfield, OR 974778800 5412227300

Office Location

Street Address 3100 MARTIN LUTHER KING JR PKWY
City SPRINGFIELD
State OR
Zip Code 97477-7514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821060591 Kimberly A Bock Obstetrics & Gynecology 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2006-02-06
1912366519 Madeleine Katz Advanced Practice Midwife 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2016-02-11
1629404843 Adrienne Fisher Nurse Practitioner 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2013-09-19
1114284189 David Michael Herrmann Obstetrics & Gynecology 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2012-04-16
1760757900 Kristy Marie Kelel Obstetrics & Gynecology 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2012-03-21
1073529293 Cristin J. Babcock Obstetrics & Gynecology 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2006-07-31
1457386732 Susan Trezona Registered Nurse 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2006-07-12
1669497756 Frederick N. Green Obstetrics & Gynecology 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2006-07-12
1871518969 Gary James Leclair Marriage & Family Therapist 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2006-07-12
1780609842 Paula H. Jewett Obstetrics & Gynecology 3100 Martin Luther King Jr Pkwy, Springfield, OR 97477-7514 2006-07-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508416140 Chase Michael Collings Physician Assistant 960 N 16th St Ste 303, Springfield, OR 97477 2019-09-16
1174079396 Amie Flanagan Occupational Therapy Assistant 3152 Valentine Court, Springfield, OR 97477 2016-08-28
1609229590 Kiernan Davis Snedigar Counselor 175 W B St Ste J, Springfield, OR 97477 2016-07-15
1578914206 Ryan James Dixon Counselor 1923 Centennial Blvd, Springfield, OR 97477 2016-06-23
1902275464 Jovonnie Bashaw Counselor 1157 5th St, Springfield, OR 97477 2015-09-15
1053759506 Norco Inc Durable Medical Equipment & Medical Supplies 302 Shelley St Ste 7&8, Springfield, OR 97477 2013-06-06
1780931634 Justin Morris Pharmacist 1891 Pioneer Parkway East, Springfield, OR 97477 2012-08-09
1194083105 Mersedeh Bahr Hosseini Psychiatry & Neurology 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 2012-04-26
1962769679 Hiro Kawata Internal Medicine 3311 Rierbend Dr., Springfield, OR 97477 2012-04-19
1659662823 Wendy A Teigen Counselor 3995 Marcola Rd., Springfield, OR 97477 2011-04-22
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Taxonomy Information

Taxonomy Code 176B00000X
Grouping Other Service Providers
Classification Midwife

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760043509 Samantha Lynn Sewell Midwife 5663 Ravenel Ln, Springfield, VA 22151-2427 2019-06-24
1629631338 Rochelle Morgan Midwife 3231 S National Ave Ste 230, Springfield, MO 65807-7304 2019-04-18
1558878421 Nova Women's Health Collective Midwife 7011 Calamo St Ste 204, Springfield, VA 22150-3510 2018-01-02
1851529051 Krystal June Wages Midwife 37718 Upper Camp Creek Rd, Springfield, OR 97478-8753 2009-06-25
1649880618 Amber Littleton Midwife 3801 S National Ave, Springfield, MO 65807-5210 2020-08-05
1487275434 Scarlet Kennedy Jessen Midwife 1901 S Ventura Ave Ste B, Springfield, MO 65804-2700 2020-04-30
1841773348 Aliza Rosenstein Midwife 3455 Main St Ste C, Springfield, MA 01107-1187 2018-09-11
1750877148 Crystal J Ferguson Midwife 3450 S Campbell Ave, Springfield, MO 65807-5102 2018-07-09
1598179087 Anne Elizabeth Tornatore-pili Midwife 353 Deadmond Ferry Rd, Springfield, OR 97477-9406 2014-06-12
1104051523 Sarah Lynn Jones Midwife 1965 S Fremont Ave, Suite 270, Springfield, MO 65804-2201 2009-05-29
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 97477

Improve Information

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Dataset Information

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.

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