Organization Active NPI

Off the Grid Midwifery & Health LLC

  • Women's Health Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1003664624
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
OFF THE GRID MIDWIFERY & HEALTH LLC
Practice address
4707 S Junett St Ste B
Tacoma, WA 98409-6480
Phone
(360) 633-9146
Fax
(306) 400-2735
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Kathryn Jackson, CNM, ARNPNPI 1780661694
Title
Ceo
Phone
(253) 509-2960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

4707 S Junett St Ste B
Tacoma, WA 98409-6480

Mailing address

PO Box 294
Burley, WA 98322-0294
Phone (253) 509-2960

Other practice location 1

6002 Westgate Blvd Ste 120
Tacoma, WA 98406-2580
Phone (253) 509-2960

Other practice location 2

1805 SE Salmonberry Rd
Port Orchard, WA 98366-5922
Phone (360) 633-9146

National Provider Directory

National Provider Directory

Locations

1805 SE Salmonberry Rd
Port Orchard, WA 98366
Phone (360) 633-9146

4707 S Junett St
Ste B
Tacoma, WA 98409
Phone (253) 243-2537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1003664624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "BURLEY",
            "state": "WA",
            "postal_code": "983220294",
            "telephone_number": "253-509-2960",
            "fax_number": "306-400-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 S JUNETT ST STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984096480",
            "telephone_number": "360-633-9146",
            "fax_number": "306-400-2735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Westgate Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984062580",
            "country_code": "US",
            "telephone_number": "253-509-2960",
            "fax_number": "306-400-2735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 SE Salmonberry Rd",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983665922",
            "country_code": "US",
            "telephone_number": "360-633-9146",
            "fax_number": "306-400-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OFF THE GRID MIDWIFERY & HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-509-2960",
        "authorized_official_credential": "CNM, ARNP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.