Active NPI
Brooke Olivia Orth
- Lay Midwife
- Lacey, WA
National Provider Identifier
1104155837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- 602573980
- Practice address
- 3709 Apollo St SE
Lacey, WA 98503-7137 - Phone
- (360) 556-4456
- NPI assigned
- Dec 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | 602573980 | WA | Primary |
Addresses
Primary practice location
3709 Apollo St SE
Lacey, WA 98503-7137
Mailing address
3709 Apollo St SE
Lacey, WA 98503-7137
Phone (360) 556-4456
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 |
|---|---|---|---|
| 602573980 | WA | MD | Lay Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1104155837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 APOLLO ST SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985037137",
"telephone_number": "360-556-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3709 APOLLO ST SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985037137",
"telephone_number": "360-556-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTH",
"first_name": "BROOKE",
"middle_name": "OLIVIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "WA",
"license": "602573980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.