Provider Type Icon

PEGGY LISA MCCULLUM CNM NPI 1528005253


NPI Information

NPI: 1528005253
Provider Name: PEGGY LISA MCCULLUM, CNM
Classification: Midwife - 176B00000X
Entity Type: Individual
Address:
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-5300
Get Directions

Peggy Lisa Mccullum, CNM is a midwife in Corvallis, OR. The provider is 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. Peggy Lisa Mccullum, CNM NPI is 1528005253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3640 NW SAMARITAN DR STE 220
CORVALLIS, OR
ZIP 97330-784
Phone: (541) 768-5300

The enumeration date for this NPI number is 6/1/2006 and was last updated on 11/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1176B00000XMidwife200450148NPOREGONYes
2367A00000XAdvanced Practice Midwife200450148NPOREGONNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200450148NPOTHEROREGONSTATE LICENSE
2269512MEDICAIDOREGON
3200442216RNOTHEROREGONSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.