Siri Ann Larson Iverson, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW60896330 Issued in WA

Practice address

57 Cedar Ave
Snohomish, WA 98290-2929

Phone

(877) 869-6105

NPI assigned

May 13, 2019

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

• Siri Ann Larson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Everett Birth Center

  • Birthing Clinic/Center
  • Everett, WA
  • NPI 1871426189
  NPD Authorized official
• Elemental Birth, LLC

  dba Snohomish Midwives

  • Clinic/Center
  • Snohomish, WA
  • NPI 1912232992
  NPD (past)
• Quilted Health Professional Services Corporation

  dba Quilted Health

  • Advanced Practice Midwife
  • Seattle, WA
  • NPI 1114548534

  Single Specialty

  NPD (past)
• Snohomish Midwives LLC

  • Clinic/Center
  • Snohomish, WA
  • NPI 1851911168
  NPD (past)

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1174189393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 PANTHER LAKE RD",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982909396",
            "telephone_number": "253-208-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CEDAR AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902929",
            "telephone_number": "877-869-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 Panther Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982909396",
            "country_code": "US",
            "telephone_number": "253-208-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON IVERSON",
        "first_name": "SIRI",
        "middle_name": "ANN",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60896330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "siri.larson@bastyr.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5515 Panther Lake Rd",
            "city": "Snohomish",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982909396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SIRI",
            "last_name": "LARSON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Landstrom Counseling, LLC
• Elisha Lane, CPHT
• Lynne Charlene Lang, RN
• Leanna L Langston
• Ailing Z Lapresta, LMT
• Katharine Larson, PT, BCHN
• Sara Louise Larson, A.T.,C.
• Kristine Lau, LMHC
• Lauri Laureano, LMHCA
• Kellie Diane Lawler, ND, L.AC.

• Midwife in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.