Elliott Leslie, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW61127543 Issued in WA

Practice address

34617 11TH PL S Ste 201
Federal Way, WA 98003-8706

Phone

(253) 313-1031

NPI assigned

Jun 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elliott Tillmann Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Quilted Health Professional Services Corporation

  • Advanced Practice Midwife
  • Seattle, WA
  • NPI 1114548534
  NPD (past)
• Wellspring Midwifery LLC

  • Midwife
  • Federal Way, WA
  • NPI 1326641341
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1174149181",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34617 11TH PL S STE 201",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038706",
            "telephone_number": "253-313-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "ELLIOTT",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW61127543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIOTT",
            "last_name": "TILLMANN",
            "credential": "LM, CPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachael Lenoir
• Kathryn Dunphy Lent, DPT
• Olusola Amope-Amosun Leon, LMHCA
• Luther Ray Leonard
• Trisha Leonard, LICSW
• Carmen Diana Let I, LMP
• Kevin K. Leung, MD
• Diane Elaine Levitan, MD
• Carmen Diane Lewis, RN, IBCLC
• Christian Mykal Lewis

• Midwife in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.