Organization Active NPI

Della Vita Midwifery

  • Advanced Practice Midwife
  • Vancouver, WA
National Provider Identifier
1386079572
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP30004086 Issued in WA
Legal business name
DELLA VITA MIDWIFERY
Practice address
11801 NE 65TH St Ste C
Vancouver, WA 98662-5527
Phone
(360) 719-2171
Fax
(360) 719-2172
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Ms. Betsy Camille Smith, CNM
Title
Co-Owner
Phone
(360) 719-2171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367A00000X AP30007116 WA
Advanced Practice MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367A00000X AP30004086 WA Primary

Addresses

Primary practice location

11801 NE 65TH St Ste C
Vancouver, WA 98662-5527

Mailing address

16107 NE 33Rd Ave
Ridgefield, WA 98642-9553
Phone (360) 901-7593

Other identifiers 6

IdentifierTypeStateIssuer
G8904127OtherPTAN
G8904128OtherPTAN
1005793MedicaidWA
1044459MedicaidWA
1245255660OtherNPI
1497770812OtherNPI

National Provider Directory

National Provider Directory

Locations

11801 NE 65th St
#C
Vancouver, WA 98662
Phone (360) 719-2171

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1386079572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16107 NE 33RD AVE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986429553",
            "telephone_number": "360-901-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 NE 65TH ST STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986625527",
            "telephone_number": "360-719-2171",
            "fax_number": "360-719-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLA VITA MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-719-2171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP30007116",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP30004086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G8904127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G8904128",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005793",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044459",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245255660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497770812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.