Individual provider Active NPI

Elizabeth Fay, LM, CPM

  • Midwife
  • Federal Way, WA
National Provider Identifier
1104442672
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
402 S 333Rd St Ste 104
Federal Way, WA 98003-7099
Phone
(925) 324-0892
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

402 S 333Rd St Ste 104
Federal Way, WA 98003-7099

Mailing address

34617 11TH PL S Ste 201
Federal Way, WA 98003-8706
Phone (253) 313-1031

Other names 1

  • Lizz Fay Other name

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
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Midwifery LLC Midwife CurrentSince Nov 22, 2020 Accepting new patients
Quilted Health Professional Services Corporation Past Accepting new patients

Locations

402 S 333rd St
Ste 104
Federal Way, WA 98003
Phone (206) 428-8435

34617 11th Pl S
Ste 201
Federal Way, WA 98003
Phone (253) 313-1031

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1104442672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34617 11TH PL S STE 201",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038706",
            "telephone_number": "253-313-1031",
            "fax_number": "253-393-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S 333RD ST STE 104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037099",
            "telephone_number": "925-324-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "ELIZABETH",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZZ",
            "last_name": "FAY",
            "credential": "LM, CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.