NPIMap

Organization Active NPI

Birthroot Midwifery Service

  • Midwife
  • Bellingham, WA
National Provider Identifier
1285750786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
00000123 Issued in WA
Legal business name
BIRTHROOT MIDWIFERY SERVICE
Practice address
2429 Elm St
Bellingham, WA 98225-2729
Phone
(360) 734-2182
Fax
(360) 752-2498
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann Eleanor Tive, L.M.NPI 1316098437
Title
President
Phone
(360) 734-2182

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X 00000123 WA Primary

Addresses

Primary practice location

2429 Elm St
Bellingham, WA 98225-2729

Mailing address

2429 Elm St
Bellingham, WA 98225-2729
Phone (360) 734-2182

Other identifiers 1

IdentifierTypeStateIssuer
7095706MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285750786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 ELM ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252729",
            "telephone_number": "360-734-2182",
            "fax_number": "360-752-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 ELM ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252729",
            "telephone_number": "360-734-2182",
            "fax_number": "360-752-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTHROOT MIDWIFERY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIVE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELEANOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-734-2182",
        "authorized_official_credential": "L.M."
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "WA",
            "license": "00000123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7095706",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.