Active NPI
Angela Hotz, LM, CPM
- Midwife
- Mount Vernon, WA
National Provider Identifier
1083367148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW6123244
- Practice address
- 916 S 3Rd St Ste B
Mount Vernon, WA 98273-4324 - Phone
- (360) 808-3973
- Fax
- (360) 826-8250
- NPI assigned
- Jan 29, 2022
- Reactivated
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW61232444 | WA | |
| Midwife | 176B00000X | MW6123244 | WA | Primary |
Addresses
Primary practice location
916 S 3Rd St Ste B
Mount Vernon, WA 98273-4324
Mailing address
PO Box 98
Mount Vernon, WA 98273-0098
Phone (360) 808-3973
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
| License | State | Type | Specialty |
|---|---|---|---|
| MW6123244 | WA | MD | Midwife |
| MW61232444 | WA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mothership Midwifery | Midwife | Current | Accepting new patients |
| Mothership Birth Center PLLC | Current | Accepting new patients |
Locations
916 S 3rd St
Ste B
Mount Vernon, WA 98273
Phone (360) 230-8127
6002 Westgate Blvd
Ste 120
Tacoma, WA 98406
Phone (253) 686-3014
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.
-
- Birthing Clinic/Center
- Mount Vernon, WA
- NPI 1710604186
-
- Midwife
- Mount Vernon, WA
- NPI 1730834649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731196800000",
"number": "1083367148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982730098",
"telephone_number": "360-808-3973",
"fax_number": "360-826-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 S 3RD ST STE B",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734324",
"telephone_number": "360-808-3973",
"fax_number": "360-826-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOTZ",
"first_name": "ANGELA",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-29",
"last_updated": "2024-11-10",
"certification_date": "2024-11-10",
"deactivation_date": "2022-01-29",
"reactivation_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW61232444",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "WA",
"license": "MW6123244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.