Kodiak Birth and Wellness, LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Legal business name

KODIAK BIRTH AND WELLNESS, LLC

Practice address

211 W Hillcrest St
Kodiak, AK 99615-6005

Phone

(907) 244-9295

Fax

(907) 331-0491

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Elke Saunders, CDM

Title

Owner

Phone

(907) 244-9295

Specialties & licenses 4

Addresses

Other identifiers 2

Tax ID family

Kodiak Birth and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kodiak Birth and Wellness, LLC

  • Birthing Clinic/Center
  • Kodiak, AK
  • NPI 1073114039
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elke M Barnes, LM, CPM

  • Midwife
  • Tacoma, WA
  • NPI 1952680704
  NPD

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1285265181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W HILLCREST ST",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W HILLCREST ST",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156005",
            "telephone_number": "907-244-9295",
            "fax_number": "907-331-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KODIAK BIRTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "ELKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-244-9295",
        "authorized_official_credential": "CDM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703918",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180101",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kodiak Area Native Association
• Kodiak Area Native Association
• Kodiak Area Native Association
• Kodiak Area Native Association Pharmacy
• Kodiak Birth and Wellness, LLC
• Kodiak Board Certified Radiology, LLC
• Kodiak Cubs Speech
• Kodiak Diagnostic Imaging, Professional Corporation
• Kodiak Island Ambulatory Care Clinic Inc.
• Kodiak Island Assisted Living, LLC

• Advanced Practice Midwife in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Advanced Practice Midwife in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.