Active NPI
Marley Walters, LM, CPM
- Midwife
- Mount Vernon, WA
National Provider Identifier
1104627496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW61636945
- Practice address
- 916 S 3Rd St
Mount Vernon, WA 98273-4324 - Phone
- (360) 336-9997
- NPI assigned
- Mar 21, 2025
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW61636945 | WA | Primary |
Addresses
Primary practice location
916 S 3Rd St
Mount Vernon, WA 98273-4324
Mailing address
612 Sierra St
Bellingham, WA 98226-8681
Phone (629) 201-1174
Other practice location 1
1501 Fraser St Ste M-104
Bellingham, WA 98229-5828
Phone (360) 364-6310
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 |
|---|---|---|---|
| MW61636945 | WA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1104627496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 SIERRA ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982268681",
"telephone_number": "629-201-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 S 3RD ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734324",
"telephone_number": "360-336-9997"
}
],
"practiceLocations": [
{
"address_1": "1501 Fraser St Ste M-104",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982295828",
"country_code": "US",
"telephone_number": "360-364-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "MARLEY",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-21",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW61636945",
"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 Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.