WISE WOMEN CARE ASSOCIATES (NPI# 1659629137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659629137 |
| Entity Type | Organization |
| Organization Name | WISE WOMEN CARE ASSOCIATES |
| Practice Address |
400 Crater Lake Ave Medford OR 97504-6808 |
| Practice Telephone | 5417722291 |
| Practice Fax Number | 5412450417 |
| Mailing Telephone | 5417722291 |
| Mailing Fax Number | 5412450417 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Authorized Official Name | MRS. AUGUSTINE COLEBROOK (MIDWIFE) |
| Authorized Official Telephone | 5417722291 |
| Authorized Official Credential | CPM, LM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175M00000X | Midwife, Lay | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990267 | Wise Women Care Associates | Nurse Practitioner | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2012-04-04 |
| Street Address |
400 CRATER LAKE AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396898441 | Johanna Lydia Buck | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2007-01-20 |
| 1346876257 | Kelly Marie Barlow | Registered Nurse | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2020-03-23 |
| 1568971315 | Rebecca Meador | Occupational Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-09-25 |
| 1821526914 | Sound Music Therapy, LLC. | Music Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-06-01 |
| 1689105454 | Yvette Provosty | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-03-23 |
| 1467995084 | Neurotherapeutic Pediatric Therapies, Inc | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2016-11-30 |
| 1417346511 | Audrie Kingzett | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2015-01-13 |
| 1285060517 | Heather Chalmers Faith | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2013-09-18 |
| 1073950036 | Aimee A Disharoon | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2013-05-31 |
| 1891055034 | Brenda Marie Walleman | Music Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2012-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 175M00000X |
| Grouping | Other Service Providers |
| Classification | Midwife, Lay |
| A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265679351 | Melissa Lynn Curry | Midwife, Lay | 6042 Hillcrest Rd, Medford, OR 97504-9369 | 2009-01-12 |
| 1932306636 | Jennifer Nidalmia | Midwife, Lay | 6775 Pioneer Rd, Medford, OR 97501-9317 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686043 | Gabrielle Cohen | Midwife, Lay | 170 Crispin St, Ashland, OR 97520-1297 | 2018-10-28 |
| 1285186239 | Margaret Elizabeth Halpin | Midwife, Lay | 3025 Ne Oregon St, Portland, OR 97232-2449 | 2016-10-25 |
| 1982077897 | Sarah Husain | Midwife, Lay | 14555 Sw Chesterfield Ln, Tigard, OR 97224-1972 | 2015-11-02 |
| 1225393671 | Janet Alanko | Midwife, Lay | 44490 Pocahontas Rd, Baker City, OR 97814-8183 | 2012-07-11 |
| 1184940512 | Denise S Hibben | Midwife, Lay | 2832 W Sherwood Ave, Roseburg, OR 97471-2622 | 2010-04-09 |
| 1790009991 | Amy Shepherd | Midwife, Lay | 1520 Se Madrona Ln, Milwaukie, OR 97267-1053 | 2010-03-17 |
| 1619209137 | Jacqueline Medford | Midwife, Lay | 2021 Se 34th Ave, Portland, OR 97214-5711 | 2010-02-09 |
| 1528396470 | Sarah Bly | Midwife, Lay | 509 5th St., Phoenix, OR 97535 | 2009-12-03 |
| 1861726267 | Renee Bisnaire | Midwife, Lay | 82087 Lost Creek Rd, Dexter, OR 97431-9783 | 2009-10-01 |
| 1437386257 | Jennifer Dawn Head | Midwife, Lay | 701 Jaquelyn St, Ashland, OR 97520-3780 | 2009-06-18 |
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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.