Organization Active NPI

Gumnut Blossom Midwifery LLC

  • Midwife
  • Poulsbo, WA
National Provider Identifier
1306250535
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW60129702 Issued in WA
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

Updated by the provider on Mar 27, 2017

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)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2006641MedicaidWA

Other names 1

  • Salmonberry Midwives Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.