Individual provider Active NPI

Natalie San Luis

  • Advanced Practice Midwife
  • Kennewick, WA
National Provider Identifier
1366193856
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP61465947 Issued in WA
Practice address
7426 W Bonnie PL
Kennewick, WA 99336-1124
Phone
(866) 904-7721
NPI assigned
Jan 16, 2022
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2278281MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423000871 OR Practitioner - Certified Nurse Midwife (CNM) 2062851140 Reassigns benefits to 2 organizations

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
Silverton HealthGroup PAC ID 8921901877, 147 clinicians

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

LicenseStateTypeSpecialty
202008994RNORMDCommunity Health Registered Nurse
RN61261738WAMDAmbulatory Women's Health Care Registered Nurse
AP61465947WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Current Accepting new patients
Legacy Clinics LLC CurrentSince Apr 9, 2024 Accepting new patients
Silverton Health CurrentSince Apr 9, 2024 Accepting new patients
Silverton Health CurrentSince Apr 9, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 9, 2024 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.

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

Verify at the official NPI Registry.