Individual provider Active NPI

Loritha Ann Fitzpatrick, CPM, LM

  • Midwife
  • Sequim, WA
National Provider Identifier
1013142330
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW60130114 Issued in WA
Practice address
8522 Old Olympic Hwy
Sequim, WA 98382-6812
Phone
(843) 254-5435
NPI assigned
May 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW60130114 WA Primary
Advanced Practice Midwife 367A00000X LMW-0041 SC

Addresses

Primary practice location

8522 Old Olympic Hwy
Sequim, WA 98382-6812

Mailing address

8522 Old Olympic Hwy
Sequim, WA 98382-6812
Phone (843) 254-5435

Other identifiers 2

IdentifierTypeStateIssuer
NM0039MedicaidAK
AK3516OtherAKOR DEPT. OF HEALTH NEWBORN SCREENING

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

LicenseStateTypeSpecialty
MW60130114WAMDMidwife
LMW-0041SCMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1013142330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 OLD OLYMPIC HWY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983826812",
            "telephone_number": "843-254-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 OLD OLYMPIC HWY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983826812",
            "telephone_number": "843-254-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "LORITHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60130114",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "LMW-0041",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM0039",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OR DEPT. OF HEALTH NEWBORN SCREENING",
            "identifier": "AK3516",
            "state": "AK"
        }
    ],
    "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 Sep 17, 2010; 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.