Individual provider Active NPI

Natashia Monique Madrid Heimburger, D.O.

  • Obstetrics Physician
  • Vancouver, WA
National Provider Identifier
1376772616
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
OP60469079 Issued in WA
Practice address
505 NE 87TH Ave Ste 160
Vancouver, WA 98664-1965
Phone
(360) 514-1060
NPI assigned
Jul 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X OP60469079 WA Primary

Addresses

Primary practice location

505 NE 87TH Ave Ste 160
Vancouver, WA 98664-1965

Mailing address

2101 NE 139TH St
Suite 350
Vancouver, WA 98686-2309
Phone (360) 256-4060

Other practice location 1

2101 NE 139TH St
Suite 350
Vancouver, WA 98686-2309
Phone (360) 256-4060

Other identifiers 1

IdentifierTypeStateIssuer
1376772616MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141212000682 WA Practitioner - Obstetrics/Gynecology 5991027484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Washington PCGroup PAC ID 0345364642, 44 clinicians

Practice addresses (Care Compare)

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (864) 908-3530

413 Lilly Rd NE
Olympia, WA 98506-5166
Phone (864) 908-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60469079WAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Washington, PC CurrentSince May 20, 2020 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

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": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1376772616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST",
            "address_2": "SUITE 350",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862309",
            "telephone_number": "360-256-4060",
            "fax_number": "360-256-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NE 87TH AVE STE 160",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641965",
            "telephone_number": "360-514-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 NE 139TH ST",
            "address_2": "SUITE 350",
            "address_purpose": "LOCATION",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862309",
            "country_code": "US",
            "telephone_number": "360-256-4060",
            "fax_number": "360-256-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADRID HEIMBURGER",
        "first_name": "NATASHIA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "WA",
            "license": "OP60469079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376772616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.