Sam Ursa Beach Hawthorn, LDM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

DEM-LD-10160095 Issued in OR

Practice address

3205 NE 78TH St Ste 101
Vancouver, WA 98665-0697

Phone

(503) 395-4736

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Monarch Midwifery

  • Birthing Clinic/Center
  • Vancouver, WA
  • NPI 1013662105
  NPD

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1073764536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 NE 78TH ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650697",
            "telephone_number": "503-395-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 NE 78TH ST STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650697",
            "telephone_number": "503-395-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORN",
        "first_name": "SAM",
        "middle_name": "URSA BEACH",
        "credential": "LDM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60477681",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OR",
            "license": "DEM-LD-10160095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Jean Hawke, RN
• Scott Richard Hawken, MD
• Crista M Hawkins
• Michelle Hawkins
• Kayla-Ann Hawley, LICSW, SUDP
• Jared Hawthorne, DMD
• Rachel Ann Hay, SC61495566
• Dakota G Hayes, LSWAIC
• Leza Hayes, PA-C
• Mary Hannah Hayes, DO

• Midwife in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.