Organization Active NPI

Gracewinds Perinatal Services, Inc.

  • Lactation Consultant (Registered Nurse)
  • Seattle, WA
National Provider Identifier
1013081454
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
GRACEWINDS PERINATAL SERVICES, INC.
Practice address
1415 NW 70TH St
Seattle, WA 98117-5340
Phone
(206) 781-9871
Fax
(206) 297-8488
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christine Clair Wallace, CMA, LMP, CCCE, CLD
Title
President Ceo
Phone
(206) 781-9871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

1415 NW 70TH St
Seattle, WA 98117-5340

Mailing address

1415 NW 70TH St
Seattle, WA 98117-5340
Phone (206) 781-9871

National Provider Directory

National Provider Directory

Locations

1415 NW 70th St
Seattle, WA 98117
Phone (206) 781-9871

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": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013081454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NW 70TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175340",
            "telephone_number": "206-781-9871",
            "fax_number": "206-297-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NW 70TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175340",
            "telephone_number": "206-781-9871",
            "fax_number": "206-297-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEWINDS PERINATAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "CLAIR",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "206-781-9871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMA, LMP, CCCE, CLD"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.