Organization Active NPI

Gentle Gynecology LLC

  • Midwife
  • Sequim, WA
National Provider Identifier
1053158519
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
GENTLE GYNECOLOGY LLC
Practice address
375 W Bell St
Sequim, WA 98382-3756
Phone
(360) 775-9486
Fax
(626) 587-4856
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Cheri Kate Shields, ARNP, CNMNPI 1366776189
Title
Owner
Phone
(360) 775-9486

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
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

375 W Bell St
Sequim, WA 98382-3756

Mailing address

113 Brown Rd
Port Angeles, WA 98362-8641
Phone (360) 775-9486

Other identifiers 1

IdentifierTypeStateIssuer
1366776189MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1053158519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BROWN RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628641",
            "telephone_number": "360-775-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 W BELL ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823756",
            "telephone_number": "360-775-9486",
            "fax_number": "626-587-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-775-9486",
        "authorized_official_credential": "ARNP, CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366776189",
            "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 Jul 11, 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.