Individual provider Active NPI

Angela Hotz, LM, CPM

  • Midwife
  • Mount Vernon, WA
National Provider Identifier
1083367148
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW6123244 Issued in WA
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

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW61232444 WA
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
MW6123244WAMDMidwife
MW61232444WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mothership Midwifery Midwife CurrentSince Nov 17, 2024 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.

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.

Verify at the official NPI Registry.