Active NPI
Jessica Evelyn Gow-Lee, CNM
- Advanced Practice Midwife
- Tamuning, GU
National Provider Identifier
1013134345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 100601
- Practice address
- 472 Chalan San Antonio
Tamuning, GU 96913-3605 - Phone
- (671) 646-8881
- Fax
- (671) 648-2548
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60417258 | WA | |
| Advanced Practice Midwife | 367A00000X | 100601 | GU | Primary |
| Advanced Practice Midwife | 367A00000X | AP30002337 | WA |
Addresses
Primary practice location
472 Chalan San Antonio
Tamuning, GU 96913-3605
Mailing address
388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881
Other practice location 1
515 W Court St
Pasco, WA 99301-3737
Phone (509) 547-2204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013134345 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260304003085 | GU | Practitioner - Certified Nurse Midwife (CNM) | 1355666793 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
388 Ypao Rd
Tamuning, GU 96913-3701
Phone (671) 646-8881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30002337 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Conference Corp of Sda | Current | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
472 Chalan San Antonio
Tamuning, GU 96913
Phone (671) 646-8881
Interoperability endpoints
- jessica.gow-lee.1@18826.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782000000000",
"number": "1013134345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 YPAO RD",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133701",
"telephone_number": "671-646-8881",
"fax_number": "671-648-2548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 CHALAN SAN ANTONIO",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133605",
"telephone_number": "671-646-8881",
"fax_number": "671-648-2548"
}
],
"practiceLocations": [
{
"address_1": "515 W Court St",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993013737",
"country_code": "US",
"telephone_number": "509-547-2204",
"fax_number": "509-545-3960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOW-LEE",
"first_name": "JESSICA",
"middle_name": "EVELYN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2026-06-21",
"certification_date": "2026-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60417258",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GU",
"license": "100601",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30002337",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013134345",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
- Rolan Segovia Golez, RPT
- Julio J. Gomez
- Alexis Rae Garcia Gonzales, RPH
- Jonathan Adrian Gonzalez
- Government of Guam Department of Administration
- Lorraine Michelle Torres Gozum, PHYSICAL THERAPIST
- Andrew David Graves, M.D.
- Eric Mark Greenfield, D.O
- Brian Wayne Greening, APRN, FNP-BC
- Barbara J Gregory, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.