SHILO MARIE MCKENZIE (NPI# 1912235516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912235516 |
| Entity Type | Individual |
| Full Name | SHILO MARIE MCKENZIE |
| Credential | CNMNP |
| Practice Address |
29135 Ellensburg Ave Gold Beach OR 97444-8722 |
| Mailing Address |
Po Box 1710 Gold Beach OR 97444-1710 |
| Practice Telephone | 5414255311 |
| Practice Fax Number | 5414255577 |
| Mailing Telephone | 5414255311 |
| Mailing Fax Number | 5414255577 |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 200950160NP NMNP | OR | Other Service Providers |
| N | 363L00000X | Nurse Practitioner | 200950160NP NMNP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH, LLC PTAN | R179539 | 01 |
| CURRY GENERAL HOSPITAL NPI | 1487696985 | 01 | |
| OR | 500614877 | 05 | |
| OR | BRIGHT EYES MIDWIFERY & WILD RIVERS WOMEN'S HEALTH LLC NPI | 1386069326 | 01 |
| Street Address |
29135 ELLENSBURG AVE |
| City | GOLD BEACH |
| State | OR |
| Zip Code | 97444-8722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558347781 | Alice B Taylor | Nurse Practitioner | 29135 Ellensburg Ave, Gold Beach, OR 97444 | 2005-12-20 |
| 1386069326 | Bright Eyes Midwifery and Wild Rivers Womens Health,llc | Advanced Practice Midwife | 29135 Ellensburg Ave, Gold Beach, OR 97444-8722 | 2014-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460227 | Curry Health District | Clinic/Center | 94125 Fourth Street, Gold Beach, OR 97444 | 2018-06-08 |
| 1427553692 | Columbiacare Services | Clinic/Center | 29415 Russell St, Gold Beach, OR 97444 | 2018-03-28 |
| 1972951630 | Kay Minkler | Case Manager/Care Coordinator | 29836 Mary Street, Gold Beach, OR 97444 | 2016-06-02 |
| 1811305717 | Mary Chambers | Counselor | 29821 Colvin St., Gold Beach, OR 97444 | 2014-07-24 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1548600208 | Stephanie Ann Laudert | Family Medicine | Curry Medical Practice, 94220 4th Street, Gold Beach, OR 97444 | 2013-06-26 |
| 1982944047 | Marta Maya Druzdzel | Massage Therapist | 29740 Ellensburg Ave, Gold Beach, OR 97444 | 2013-02-26 |
| 1598035347 | Curry County Health Department | Public Health or Welfare | 94235 Moore St., Gold Beach, OR 97444 | 2012-01-11 |
| 1013296920 | Merna Peterson | Counselor | 29821 Colvin, Gold Beach, OR 97444 | 2011-08-09 |
| 1609050129 | County of Curry | Home Health | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2007-12-19 |
| Find all providers in zip 97444 | ||||
| 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 |
|---|---|---|---|---|
| 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 | GOLD BEACH |
| Zip Code | 97444 |
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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.