Active NPI
Nicole Marie Donovan, LM
- Midwife
- Kirkland, WA
National Provider Identifier
1477882108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW 60066915
- Practice address
- 13128 Totem Lake Blvd NE Ste 101
Kirkland, WA 98034-2953 - Phone
- (425) 823-1919
- NPI assigned
- Dec 8, 2009
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | MW 60066915 | WA | Primary |
Addresses
Primary practice location
13128 Totem Lake Blvd NE Ste 101
Kirkland, WA 98034-2953
Mailing address
20115 75TH Ave NE
Kenmore, WA 98028-2012
Phone (206) 478-1771
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW 60066915 | WA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1477882108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20115 75TH AVE NE",
"city": "KENMORE",
"state": "WA",
"postal_code": "980282012",
"telephone_number": "206-478-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13128 TOTEM LAKE BLVD NE STE 101",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342953",
"telephone_number": "425-823-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "LM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW 60066915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.