Active NPI
Della Vita Midwifery
- Advanced Practice Midwife
- Vancouver, WA
National Provider Identifier
1386079572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP30004086
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP30007116 | WA | |
| Advanced Practice Midwife | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8904127 | Other | PTAN | |
| G8904128 | Other | PTAN | |
| 1005793 | Medicaid | WA | |
| 1044459 | Medicaid | WA | |
| 1245255660 | Other | NPI | |
| 1497770812 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
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.