Active NPI
Natalie San Luis
- Advanced Practice Midwife
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP61465947
- Practice address
- 7426 W Bonnie PL
Kennewick, WA 99336-1124 - Phone
- (866) 904-7721
- NPI assigned
- Jan 16, 2022
- Last updated
- Apr 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 10013337 | OR | |
| Advanced Practice Midwife | 367A00000X | 10013337 | OR | |
| Advanced Practice Midwife | 367A00000X | AP61465947 | WA | Primary |
| Community Health Registered Nurse | 163WC1500X | 202008994RN | OR | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN61261738 | WA |
Addresses
Primary practice location
7426 W Bonnie PL
Kennewick, WA 99336-1124
Mailing address
3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Phone (512) 496-4464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2278281 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
406 Welch St
Silverton, OR 97381-1934
Phone (503) 873-8853
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202008994RN | OR | MD | Community Health Registered Nurse |
| RN61261738 | WA | MD | Ambulatory Women's Health Care Registered Nurse |
| AP61465947 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Planned Parenthood of Greater Washington & North Idaho | Past | Accepting new patients | |
| Planned Parenthood of Greater Washington & North Idaho | Past | Accepting new patients |
Locations
24850 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-9444
5685 Inland Shores Way N
Keizer, OR 97303
Phone (503) 779-2271
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2800 N Vancouver Ave
Portland, OR 97227
Phone (503) 413-4340
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
406 Welch St
Silverton, OR 97381
Phone (503) 364-3787
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Legacy Silverton Medical Center
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Medical Group Firwood
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Clinic/Center
- Silverton, OR
- NPI 1871214304
-
dba PPGWNI Ellensburg Health Center
- Family Medicine Physician
- Ellensburg, WA
- NPI 1003061920
-
dba PPGWNI Spokane, Spokane Valley and Pullman Health Centers
- Family Medicine Physician
- Spokane, WA
- NPI 1346226750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1366193856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 SW US VETERANS HOSPITAL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393076",
"telephone_number": "512-496-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7426 W BONNIE PL",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361124",
"telephone_number": "866-904-7721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN LUIS",
"first_name": "NATALIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-16",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "OR",
"license": "10013337",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "OR",
"license": "10013337",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP61465947",
"primary": true
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "202008994RN",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "WA",
"license": "RN61261738",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2278281",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.