THE JACKSON MACY CLINIC
NPI 1780390864
Advanced Practice Midwife in Tualatin, OR

NPI Status: Active since January 23, 2023

Contact Information

19365 SW 65TH AVE STE 105
TUALATIN, OR
ZIP 97062
Phone: (503) 454-0018
Fax: (503) 848-3471

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  • Organization
  • Advanced Practice Midwife

About THE JACKSON MACY CLINIC

This page provides the complete NPI Profile along with additional information for The Jackson Macy Clinic, a provider established in Tualatin, Oregon operating as a Advanced Practice Midwife. The healthcare provider is registered in the NPI registry with number 1780390864 assigned on January 2023. The practitioner's primary taxonomy code is 367A00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as The Jackson Macy Clinic. The authorized official of this NPI record is Kelly Grant Whcnp-bc, Cnm (Owner)

NPI
1780390864
Provider Legal Name
THE JACKSON MACY CLINIC LLC
Other Organization Name
THE JACKSON MACY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
19365 SW 65TH AVE STE 105 TUALATIN, OR 97062
Location Phone
(503) 454-0018
Location Fax
(503) 848-3471
Mailing Address
19365 SW 65TH AVE STE 105 TUALATIN, OR 97062
Mailing Phone
(503) 454-0018
Mailing Fax
(503) 848-3471
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2023
Last Update Date
11-21-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LW0102XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Women's Health

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY GRANT WHCNP-BC, CNM

Authorized Official Title
OWNER
Authorized Official Phone
(503) 724-8188

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780390864, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 6 + 9 + 0 + 8 + 1 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1780390864.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
19365 SW 65TH AVE STE 105
TUALATIN, OR 97062
Chiropractor
19365 SW 65TH AVE STE 105
TUALATIN, OR 97062
Nurse Practitioner (Women's Health)
19365 SW 65TH AVE STE 105
TUALATIN, OR 97062
Marriage & Family Therapist
19365 SW 65TH AVE STE 105
TUALATIN, OR 97062
Counselor (Mental Health)
19365 SW 65TH AVE STE 105
TUALATIN, OR 97062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780390864, enumerated as an "organization" on January 23, 2023.

The provider is located at 19365 SW 65TH AVE STE 105 TUALATIN, OR 97062 and the phone number is (503) 454-0018.

Advanced Practice Midwife with taxonomy code 367A00000X.