Active NPI
Lacy Rain Tipton-Haggerty, ARNP, CNM
- Advanced Practice Midwife
- Ellensburg, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP60787438
- Practice address
- 100 E Jackson Ave
Ellensburg, WA 98926-3633 - Phone
- (509) 933-8720
- Fax
- (509) 933-8722
- NPI assigned
- Sep 18, 2017
- Last updated
- Oct 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP60787438 | WA | Primary |
Addresses
Primary practice location
100 E Jackson Ave
Ellensburg, WA 98926-3633
Mailing address
100 W Jackson Ave Ste 200
Ellensburg, WA 98926-3635
Phone (509) 933-8720
Other names 1
- Lacey R Tipton
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Jackson Ave
Ellensburg, WA 98926-3692
Phone (509) 933-8777
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60787438 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Current | Accepting new patients | |
| Yakima Valley Memorial Physicians | Current | Accepting new patients | |
| Kittitas County Public Hosp Dist 1 | Current | Accepting new patients | |
| Obhg Washington, PC | Current | Accepting new patients | |
| Columbia Valley Community Health | Past | Accepting new patients | |
| Columbia Valley Community Health | Past | Accepting new patients | |
| Kittitas County Public Hospital Dist 1 | Past | Accepting new patients |
Locations
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203
100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000
603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
1515 W Yakima Ave
Yakima, WA 98902
Phone (509) 248-7184
2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210
Interoperability endpoints
- lacy.haggerty.1@10575.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kittitas Valley Community Hospital
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
-
- Obstetrics & Gynecology Physician
- Silverdale, WA
- NPI 1962729525
-
- General Acute Care Hospital
- Yakima, WA
- NPI 1306933940
-
dba KVH Family Medicine - Cle Elum
- Rural Health Clinic/Center
- Cle Elum, WA
- NPI 1194747774
-
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
- NPI 1366325870
-
dba CVCH Behavioral Health
- Federally Qualified Health Center (FQHC)
- Wenatchee, WA
- NPI 1346266152
-
- Federally Qualified Health Center (FQHC)
- Wenatchee, WA
- NPI 1487650636
-
dba KVH Internal Medicine
- Rural Health Clinic/Center
- Ellensburg, WA
- NPI 1932115391
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kittitas Valley Community Hospital
- Critical Access Hospital
- Ellensburg, WA
- NPI 1356375307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1437678752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W JACKSON AVE STE 200",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263635",
"telephone_number": "509-933-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E JACKSON AVE",
"city": "ELLENSBURG",
"state": "WA",
"postal_code": "989263633",
"telephone_number": "509-933-8720",
"fax_number": "509-933-8722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPTON-HAGGERTY",
"first_name": "LACY",
"middle_name": "RAIN",
"name_prefix": "Mrs.",
"credential": "ARNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP60787438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LACEY",
"last_name": "TIPTON",
"middle_name": "R",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ellensburg, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.