Individual provider Active NPI

Ariel Brantley-Dalglish, CNM

  • Advanced Practice Midwife
  • Auburn, WA
National Provider Identifier
1003287749
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP61088603 Issued in WA
Practice address
1 E Main St Ste 100
Auburn, WA 98002-4905
Phone
(425) 690-3480
Fax
(425) 690-9480
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 201606806NP-PP OR
Advanced Practice Midwife 367A00000X AP61088603 WA Primary
Registered Nurse 163W00000X RN61088584 WA
Registered Nurse 163W00000X 201407145RN OR

Addresses

Primary practice location

1 E Main St Ste 100
Auburn, WA 98002-4905

Mailing address

1 E Main St Ste 100
Auburn, WA 98002-4905
Phone (425) 690-3480

Other practice location 1

1608 S J St Fl 1
Tacoma, WA 98405-4930
Phone (253) 274-7501

Other practice location 2

16045 1st Ave S Fl 2
Burien, WA 98148-1401
Phone (206) 965-4200

Other practice location 3

9300 NE Oak View Dr
Vancouver, WA 98662-6157
Phone (360) 567-2211

Other identifiers 2

IdentifierTypeStateIssuer
500713679MedicaidOR
2162681MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603001108 WA Practitioner - Certified Nurse Midwife (CNM) 5294022638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

1 E Main St
Suite 100
Auburn, WA 98002-4905
Phone (253) 939-9654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Advanced Practice Midwife CurrentSince Feb 1, 2023 Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

1 E Main St
Ste 100
Auburn, WA 98002
Phone (253) 939-9654

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3600 Lind Ave SW
Ste 100
Renton, WA 98057

Interoperability endpoints

  • Direct secure messaging: abrantleydalglish103149@direct.valleymed.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1003287749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST STE 100",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024905",
            "telephone_number": "425-690-3480",
            "fax_number": "425-690-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E MAIN ST STE 100",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024905",
            "telephone_number": "425-690-3480",
            "fax_number": "425-690-9480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 S J St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054930",
            "country_code": "US",
            "telephone_number": "253-274-7501",
            "fax_number": "253-274-7991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16045 1st Ave S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981481401",
            "country_code": "US",
            "telephone_number": "206-965-4200",
            "fax_number": "206-965-4279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 NE Oak View Dr",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626157",
            "country_code": "US",
            "telephone_number": "360-567-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANTLEY-DALGLISH",
        "first_name": "ARIEL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201606806NP-PP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61088603",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61088584",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201407145RN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500713679",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162681",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.