Active NPI
Peggy J Thompson, CNM
- Advanced Practice Midwife
- Tacoma, WA
National Provider Identifier
1407861172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP30005979
- Practice address
- 1608 S J St FL 1
Tacoma, WA 98405-4930 - Phone
- (253) 274-7501
- Fax
- (360) 825-6536
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30005979 | WA | |
| Advanced Practice Midwife | 367A00000X | AP30005979 | WA | Primary |
Addresses
Primary practice location
1608 S J St FL 1
Tacoma, WA 98405-4930
Mailing address
1608 S J St FL 1
Tacoma, WA 98405-4930
Phone (253) 274-7501
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0194346 | Other | WA | STATE L&I |
| 8938491 | Other | WA | STATE CRIME VICTIMS |
| 1044070 | Medicaid | WA | |
| 0204598 | Other | WA | STATE L&I |
| 8940535 | Other | WA | STATE CRIME VICTIMS |
Other names 1
- Peggy J Dunlop
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pthompson17187@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005979 | WA | MD | Advanced Practice Midwife |
Interoperability endpoints
- pthompson17187@fhsce.catholichealth.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1407861172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 S J ST FL 1",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054930",
"telephone_number": "253-274-7501",
"fax_number": "360-825-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 S J ST FL 1",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054930",
"telephone_number": "253-274-7501",
"fax_number": "360-825-6536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PEGGY",
"middle_name": "J",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30005979",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30005979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0194346",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CRIME VICTIMS",
"identifier": "8938491",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1044070",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0204598",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CRIME VICTIMS",
"identifier": "8940535",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pthompson17187@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1608 S J St Fl 1",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054930",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "DUNLOP",
"middle_name": "J",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.