Active NPI
Gumnut Blossom Midwifery LLC
- Midwife
- Poulsbo, WA
National Provider Identifier
1306250535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW60129702
- Legal business name
- GUMNUT BLOSSOM MIDWIFERY LLC
- Doing business as
- Salmonberry Midwives
- Practice address
- 20696 Bond Rd NE
BLDG C, Suite 110
Poulsbo, WA 98370-9015 - Phone
- (360) 779-0004
- Fax
- (206) 260-1261
- NPI assigned
- Jun 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margaret Louisa Wales, LM, CPM
- Title
- Owner, Midwife
- Phone
- (206) 954-2622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW60129702 | WA | Primary |
Addresses
Primary practice location
20696 Bond Rd NE
BLDG C, Suite 110
Poulsbo, WA 98370-9015
Mailing address
20696 Bond Rd NE
BLDG C #110
Poulsbo, WA 98370-9015
Phone (360) 779-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006641 | Medicaid | WA |
Other names 1
- Salmonberry Midwives
National Provider Directory
National Provider DirectoryLocations
20696 Bond Rd NE
Ste 110
Poulsbo, WA 98370
Phone (360) 697-5500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Port Orchard, WA
- NPI 1881979086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490572800000",
"number": "1306250535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20696 BOND RD NE",
"address_2": "BLDG C #110",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709015",
"telephone_number": "360-779-0004",
"fax_number": "206-260-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20696 BOND RD NE",
"address_2": "BLDG C, SUITE 110",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709015",
"telephone_number": "360-779-0004",
"fax_number": "206-260-1261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUMNUT BLOSSOM MIDWIFERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-16",
"last_updated": "2017-03-27",
"status": "A",
"authorized_official_last_name": "WALES",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "LOUISA",
"authorized_official_title_or_position": "OWNER, MIDWIFE",
"authorized_official_telephone_number": "206-954-2622",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LM, CPM"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "WA",
"license": "MW60129702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006641",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Salmonberry Midwives",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.