Individual provider Active NPI

Neva Anne Gerke, LM, MSM

  • Midwife
  • Puyallup, WA
National Provider Identifier
1124434493
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW60473671 Issued in WA
Practice address
400 E Pioneer Ste 100
Puyallup, WA 98372-3256
Phone
(253) 890-3101
Fax
(360) 841-7753
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 MW60473671 WA Primary

Addresses

Primary practice location

400 E Pioneer Ste 100
Puyallup, WA 98372-3256

Mailing address

400 E Pioneer Ste 100
Puyallup, WA 98372-3256
Phone (360) 890-3101

Other identifiers 1

IdentifierTypeStateIssuer
2044222MedicaidWA

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
MW60473671WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Laoch Midwifery PLLC Midwife CurrentSince Oct 16, 2022 Accepting new patients

Locations

400 E Pioneer
Ste 100
Puyallup, WA 98372
Phone (253) 445-5828

Organizations & group practices 1

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1124434493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E PIONEER STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723256",
            "telephone_number": "360-890-3101",
            "fax_number": "360-841-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E PIONEER STE 100",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723256",
            "telephone_number": "253-890-3101",
            "fax_number": "360-841-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERKE",
        "first_name": "NEVA",
        "middle_name": "ANNE",
        "credential": "LM, MSM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60473671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044222",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.