Individual provider Active NPI

Laverne J Moore-Washington, CNM

  • Advanced Practice Midwife
  • Fort Riley, KS
National Provider Identifier
1447354816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW008535L Issued in PA
Practice address
Irwin Army Community Hospital (Attn MCSS-MDC-QM)
600 Caisson Hill Road
Fort Riley, KS 66442-5037
Phone
(785) 239-7155
Fax
(785) 239-7364
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW008535L PA Primary

Addresses

Primary practice location

Irwin Army Community Hospital (Attn MCSS-MDC-QM)
600 Caisson Hill Road
Fort Riley, KS 66442-5037

Mailing address

Irwin Army Community Hospital (Attn MCSS-MDC-QM)
600 Caisson Hill Road
Fort Riley, KS 66442-5037
Phone (785) 239-7155

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)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
MW008535LPAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447354816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "IRWIN ARMY COMMUNITY HOSPITAL (ATTN MCSS-MDC-QM)",
            "address_2": "600 CAISSON HILL ROAD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664425037",
            "telephone_number": "785-239-7155",
            "fax_number": "785-239-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IRWIN ARMY COMMUNITY HOSPITAL (ATTN MCSS-MDC-QM)",
            "address_2": "600 CAISSON HILL ROAD",
            "city": "FORT RILEY",
            "state": "KS",
            "postal_code": "664425037",
            "telephone_number": "785-239-7155",
            "fax_number": "785-239-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-WASHINGTON",
        "first_name": "LAVERNE",
        "middle_name": "J",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW008535L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Riley, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.