NPIMap

Organization Active NPI

Wild Rose Clinic Inc

  • Advanced Practice Midwife
  • Kennewick, WA
National Provider Identifier
1275809550
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP30003677 Issued in WA
Legal business name
WILD ROSE CLINIC INC
Practice address
711 S Auburn St Ste P
Kennewick, WA 99336-5665
Phone
(509) 460-4823
Fax
(509) 460-4833
NPI assigned
Mar 30, 2012
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Rebekah Pierson, ARNP, CNMNPI 1043292956
Title
President
Phone
(509) 460-4823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30003677 WA
Women's Health Nurse Practitioner 363LW0102X AP30003677 WA
Advanced Practice Midwife 367A00000X AP30003677 WA Primary

Addresses

Primary practice location

711 S Auburn St Ste P
Kennewick, WA 99336-5665

Mailing address

PO Box 6762
Kennewick, WA 99336-0640
Phone (509) 460-4823

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1275809550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6762",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360640",
            "telephone_number": "509-460-4823",
            "fax_number": "509-460-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S AUBURN ST STE P",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365665",
            "telephone_number": "509-460-4823",
            "fax_number": "509-460-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD ROSE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-460-4823",
        "authorized_official_credential": "ARNP, CNM"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003677",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30003677",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP30003677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.