Organization Active NPI

Wellspring Midwifery LLC

Doing business as Wellspring Midwifery

  • Midwife
  • Federal Way, WA
National Provider Identifier
1326641341
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
WELLSPRING MIDWIFERY LLC
Doing business as
Wellspring Midwifery
Practice address
34617 11TH PL S Ste 201
Federal Way, WA 98003-8706
Phone
(253) 313-1031
Fax
(253) 393-5443
NPI assigned
Nov 20, 2020
Last updated
Nov 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Authorized official

Name
Elizabeth Fay, LM, CPMNPI 1104442672
Title
Co-Owner
Phone
(253) 313-1031

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
Midwife 176B00000X NU Primary

Addresses

Primary practice location

34617 11TH PL S Ste 201
Federal Way, WA 98003-8706

Mailing address

34617 11TH PL S Ste 201
Federal Way, WA 98003-8706
Phone (253) 313-1031

Other names 2

  • Wellspring Midwifery Doing business as
  • Rooted Midwifery LLC Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2266626Wellspring Midwifery LLC34617 11TH Place South Suite 201, Federal Way, WA 98003Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

402 S 333rd St
Ste 104
Federal Way, WA 98003
Phone (206) 428-8435

Practitioners & affiliated clinicians

Practitioners 2

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": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1326641341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34617 11TH PL S STE 201",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038706",
            "telephone_number": "253-313-1031",
            "fax_number": "253-393-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34617 11TH PL S STE 201",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038706",
            "telephone_number": "253-313-1031",
            "fax_number": "253-393-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "253-313-1031",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Midwifery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellspring Midwifery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rooted Midwifery LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.