MANDALA MIDWIFERY LLC (NPI# 1831643337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831643337 |
| Entity Type | Organization |
| Organization Name | MANDALA MIDWIFERY LLC |
| Practice Address |
63030 Cole Rd Bend OR 97701-9564 |
| Practice Telephone | 5416471788 |
| Practice Fax Number | 5412054885 |
| Mailing Telephone | 5416471788 |
| Mailing Fax Number | 5412054885 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Authorized Official Name | DANA MARIE JOHNSON (OWNER) |
| Authorized Official Telephone | 5416471788 |
| Authorized Official Credential | CPM, LDM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MANDALA MIDWIFERY LLC | 19800 Village Office Ct, Suite 105, Bend, OR 97702 |
| Street Address |
63030 COLE RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-9564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| 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 |
|---|---|---|---|---|
| 1932619319 | Allegra Danielle Anderson Lilly | Midwife | 19800 Village Office Ct Ste 105, Bend, OR 97702-1813 | 2017-10-11 |
| 1841700978 | Emily Morgan Miller | Midwife | 61533 Parrell Rd, Bend, OR 97702-2701 | 2017-10-03 |
| 1477903185 | Kelsey Wright | Midwife | 21278 Keyte Rd, Bend, OR 97701-9525 | 2016-06-14 |
| 1164850616 | Yesenia Murguia Guzman | Midwife | 375 Ne Franklin Ave Ste G, Bend, OR 97701-4917 | 2013-10-18 |
| 1649598681 | Kindra Michelle Kennedy | Midwife | 21235 Garcia Rd, Bend, OR 97701-8065 | 2010-05-14 |
| 1891021184 | Kari Riley | Midwife | 20530 Barrows Ct, Bend, OR 97702-3064 | 2009-10-22 |
| 1104980929 | Janette Joy Gyesky | Midwife | 375 Ne Franklin Ave, Ste G., Bend, OR 97701-4917 | 2006-12-19 |
| 1912402223 | Sophia Heick | Midwife | 61533 Parrell Rd, Bend, OR 97702-2701 | 2018-03-28 |
| 1255691382 | River Foss | Midwife | 464 Ne Norton Ave, Bend, OR 97701-4387 | 2012-05-23 |
| 1326331026 | Dana M Johnson | Midwife | 464 Ne Norton Ave, Bend, OR 97701-4387 | 2011-05-27 |
| Find all providers in BEND | ||||
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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.