JENNIFER L SANDERS (NPI# 1992072789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992072789 |
| Entity Type | Individual |
| Full Name | JENNIFER L SANDERS |
| Credential | LDM, CPM |
| Practice Address |
4861 Se 64th Ave Portland OR 97206-4639 |
| Mailing Address |
4903 Se 64th Ave Portland OR 97206-4641 |
| Practice Telephone | 5034678697 |
| Mailing Telephone | 5034678697 |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2012-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | DEMLD10144711 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500648827 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836958 | Jennifer Lynn Sanders | Technician | 816 Highland Ave Apt 3, Princeton, WV 24740-2952 | 2020-09-17 |
| 1104459825 | Jennifer Sanders | Student in an Organized Health Care Education/Training Program | 71 Wheatland Dr, Hampton, VA 23666-3558 | 2020-02-20 |
| 1508421553 | Jennifer Sanders | Counselor | 322 Cedar Dr, Pope, MS 38658-3017 | 2019-05-06 |
| 1134685324 | Jennifer Lynn Sanders | Nurse Practitioner | Marshall Medical Center North, 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2019-02-13 |
| 1013415918 | Jennifer Marie Sanders | Social Worker | 10 Rally Rd, Egg Harbor Township, NJ 08234-9684 | 2018-01-25 |
| 1174059562 | Jennifer Sanders | Social Worker | 11025 176th St, Jamaica, NY 11433-3525 | 2017-05-04 |
| 1467869644 | Jennifer Sanders | Licensed Practical Nurse | 97 Oxhead Rd, Centereach, NY 11720-2160 | 2014-07-19 |
| 1437576014 | Jennifer Sanders | Registered Nurse | 70 Freedom Ln, Scottsboro, AL 35769-3763 | 2014-03-21 |
| 1801238944 | Jennifer Sanders | Social Worker | 2835 Hollywood Blvd Fl 4, Hollywood, FL 33020-4235 | 2013-07-17 |
| 1639517303 | Jennifer Dawn Sanders | Dentist | 16350 Beckwith Street, Frenchtown, MT 59834-1048 | 2013-06-04 |
| Street Address |
4861 SE 64TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97206-4639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
| 1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
| 1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
| 1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
| 1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
| 1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
| 1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
| 1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
| 1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
| Find all providers in zip 97206 | ||||
| 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 |
|---|---|---|---|---|
| 1477194546 | Whitney Wolfe | Midwife | 3604 Nw Marcotte Rd, Portland, OR 97229-2545 | 2019-09-30 |
| 1942859137 | Caley Brown | Midwife | 4711 Ne 60th Ave, Portland, OR 97218-2610 | 2019-09-10 |
| 1619534237 | Caitlin K Maddigan | Midwife | 4057 N Concord Ave, Portland, OR 97227-1013 | 2019-05-20 |
| 1477054674 | Mindy Harshman | Midwife | 5543 Ne Going St, Portland, OR 97218-2630 | 2018-02-22 |
| 1639677131 | Cassidy Dobek | Midwife | 9002 Ne Webster St, Portland, OR 97220-4628 | 2018-01-30 |
| 1093225575 | Charli Jo Zarosinski | Midwife | 4801 Ne 12th Ave, Portland, OR 97211-4619 | 2017-10-10 |
| 1508391392 | Desiree A Lang | Midwife | 5429 Se 114th Pl, Portland, OR 97266-3358 | 2017-04-28 |
| 1255876488 | Sarah Ehrlich Riedl | Midwife | 8963 N Haven Ave, Portland, OR 97203-3477 | 2016-12-26 |
| 1538610225 | Ariel Bernstein | Midwife | 80 Morning St, Apt 3, Portland, ME 04101-4428 | 2016-10-18 |
| 1861859035 | Megan Coppock | Midwife | 504 Ne Going St, Portland, OR 97211-3915 | 2016-01-19 |
| Find all providers in PORTLAND | ||||
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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.