Kodiak Birth and Wellness, LLC

Primary specialty

Birthing Clinic/CenterTaxonomy code 261QB0400X

Legal business name

KODIAK BIRTH AND WELLNESS, LLC

Practice address

1527 Mission Rd
Kodiak, AK 99615-6507

Phone

(907) 512-0515

Fax

(907) 331-0491

NPI assigned

Nov 5, 2020

Organization subpart

No

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

Authorized official

Name

Elke Saunders, CDM, CPM

Title

Owner

Phone

(907) 512-0515

Specialties & licenses 1

Addresses

Tax ID family

Kodiak Birth and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kodiak Birth and Wellness, LLC

  • Advanced Practice Midwife
  • Kodiak, AK
  • NPI 1285265181
  NPD tax ID

Practitioners 1

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

• Elke M Barnes, LM, CPM

  • Midwife
  • Tacoma, WA
  • NPI 1952680704
  NPD

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1073114039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MISSION RD",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156507",
            "telephone_number": "907-512-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 MISSION RD",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156507",
            "telephone_number": "907-512-0515",
            "fax_number": "907-331-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KODIAK BIRTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "ELKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-512-0515",
        "authorized_official_credential": "CDM, CPM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kodiak Area Native Association
• Kodiak Area Native Association
• Kodiak Area Native Association
• Kodiak Area Native Association
• Kodiak Area Native Association Pharmacy
• Kodiak Birth and Wellness, LLC
• Kodiak Board Certified Radiology, LLC
• Kodiak Cubs Speech
• Kodiak Diagnostic Imaging, Professional Corporation
• Kodiak Island Ambulatory Care Clinic Inc.

• Birthing Clinic/Center in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Birthing Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.