Active NPI
Mallorie J Kirsch, LM, CPM
- Midwife
- Sequim, WA
National Provider Identifier
1003300245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW60844376
- Practice address
- 977A Kitchen Dick Rd
Sequim, WA 98382-7579 - Phone
- (360) 775-0655
- NPI assigned
- Jun 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW60844376 | WA | Primary |
Addresses
Primary practice location
977A Kitchen Dick Rd
Sequim, WA 98382-7579
Mailing address
977A Kitchen Dick Rd
Sequim, WA 98382-7579
Phone (360) 775-0655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MW60844376 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW60844376 | WA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1003300245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977A KITCHEN DICK RD",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983827579",
"telephone_number": "360-775-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977A KITCHEN DICK RD",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983827579",
"telephone_number": "360-775-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCH",
"first_name": "MALLORIE",
"middle_name": "J",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW60844376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "MW60844376",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.