Individual provider Active NPI

Laurel Sylvan Tiphareth, LM, LICSW, RN, ARNP

  • Advanced Practice Midwife
  • Goldendale, WA
National Provider Identifier
1417003658
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP61472750 Issued in WA
Practice address
416 NW 2ND St
Goldendale, WA 98620-9516
Phone
(509) 322-6254
Fax
(509) 426-7786
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60013576 WA
Midwife 176B00000X MW00000178 WA
Advanced Practice Midwife 367A00000X AP61472750 WA Primary

Addresses

Primary practice location

416 NW 2ND St
Goldendale, WA 98620-9516

Mailing address

416 NW 2ND St
Goldendale, WA 98620-9516
Phone (509) 322-6254

Other identifiers 2

IdentifierTypeStateIssuer
14274779575OtherGROUP NPI
2276932OtherWAHCA

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
LW60013576WAMDClinical Social Worker
MW00000178WAMDMidwife
AP61472750WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Birth Care Clinical CurrentSince Mar 1, 2024 Accepting new patients
Ferry County Public Hospital District No 1 Past Accepting new patients
Ferry County Public Hospital District No 1 Past Accepting new patients

Organizations & group practices 3

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1417003658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 NW 2ND ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209516",
            "telephone_number": "509-322-6254",
            "fax_number": "509-426-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 NW 2ND ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209516",
            "telephone_number": "509-322-6254",
            "fax_number": "509-426-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPHARETH",
        "first_name": "LAUREL",
        "middle_name": "SYLVAN",
        "name_prefix": "Ms.",
        "credential": "LM, LICSW, RN, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60013576",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW00000178",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61472750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "14274779575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCA",
            "identifier": "2276932",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldendale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.