Individual provider Active NPI

Angelina Elocile Winfield, CNM

  • Advanced Practice Midwife
  • Vancouver, WA
National Provider Identifier
1487396040
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10016261 Issued in OR
Practice address
1914 NE 90TH Cir
Vancouver, WA 98665-9187
Phone
(843) 906-2612
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP61132612 WA
Advanced Practice Midwife 367A00000X 10016261 OR Primary

Addresses

Primary practice location

1914 NE 90TH Cir
Vancouver, WA 98665-9187

Mailing address

1914 NE 90TH Cir
Vancouver, WA 98665-9187
Phone (843) 906-2612

Other names 1

  • Angelina Guzman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221123002655 WA Practitioner - Certified Nurse Midwife (CNM) 5890163737 Reassigns benefits to 2 organizations
I20231214001050 OR Practitioner - Certified Nurse Midwife (CNM) 5890163737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

615 Lilly Rd NE
Suite 200
Olympia, WA 98506-5137
Phone (360) 413-8413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
10016261ORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Mar 5, 2026 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Mar 5, 2026 Accepting new patients
Providence Health & Services Washington CurrentSince Feb 1, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 30, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 30, 2023 Accepting new patients
Legacy Mount Hood Medical Center Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

24850 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-9444

2800 N Vancouver Ave
Portland, OR 97227
Phone (503) 413-4340

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051
Phone (503) 229-8455

615 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 413-8413

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

201 Tahoma Blvd
Unit 204
Yelm, WA 98597
Phone (360) 413-8413

Organizations & group practices 7

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1487396040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 NE 90TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659187",
            "telephone_number": "843-906-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 NE 90TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986659187",
            "telephone_number": "843-906-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFIELD",
        "first_name": "ANGELINA",
        "middle_name": "ELOCILE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61132612",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10016261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELINA",
            "last_name": "GUZMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.