Individual provider Active NPI

Dana Kaye Combest, LM, CPM

  • Midwife
  • Chewelah, WA
National Provider Identifier
1083705586
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW00000267 Issued in WA
Practice address
303 N 2ND Street W
Chewelah, WA 99109-9203
Phone
(509) 935-4108
Fax
(509) 935-8750
NPI assigned
Sep 28, 2006
Last updated
Apr 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X MW00000267 WA
Midwife 176B00000X MW00000267 WA Primary

Addresses

Primary practice location

303 N 2ND Street W
Chewelah, WA 99109-9203

Mailing address

2875 Addy Gifford Rd
Gifford, WA 99131-9711
Phone (509) 722-3263

Other identifiers 1

IdentifierTypeStateIssuer
7112121MedicaidWA

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
MW00000267WAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1083705586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 ADDY GIFFORD RD",
            "city": "GIFFORD",
            "state": "WA",
            "postal_code": "991319711",
            "telephone_number": "509-722-3263",
            "fax_number": "509-935-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N 2ND STREET W",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991099203",
            "telephone_number": "509-935-4108",
            "fax_number": "509-935-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBEST",
        "first_name": "DANA",
        "middle_name": "KAYE",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "WA",
            "license": "MW00000267",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW00000267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112121",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chewelah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.