Individual provider Active NPI

Jennifer L Linstad, MSM, LM, CPM

  • Midwife
  • Seattle, WA
National Provider Identifier
1356671440
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW60498363 Issued in WA
Practice address
4704 S Mead St
Seattle, WA 98118-2810
Phone
(206) 712-7352
Fax
(888) 435-9983
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW60498363 WA Primary

Addresses

Primary practice location

4704 S Mead St
Seattle, WA 98118-2810

Mailing address

4704 S Mead St
Seattle, WA 98118-2810
Phone (206) 712-7352

Other identifiers 2

IdentifierTypeStateIssuer
1MedicaidWA
2OtherWAPRIVATE INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
MW60498363WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Womb to Room Midwifery, PLLC Midwife CurrentSince Jan 14, 2024 Accepting new patients
Rainier Valley Community Clinic Midwife PastSince Feb 1, 2020 Accepting new patients

Locations

128 14th St SE
Auburn, WA 98002
Phone (808) 371-1802

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1356671440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 S MEAD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182810",
            "telephone_number": "206-712-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 S MEAD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182810",
            "telephone_number": "206-712-7352",
            "fax_number": "888-435-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSTAD",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MSM, LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60498363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "2",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.