Jill Susanna Anderson, CPM, LM
Individual provider Active NPI Midwife · Wenatchee, WA
NPI 1508580762 · NPPES record last updated Sep 30, 2022
Key facts
- NPI
- 1508580762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- MW61352018 (WA)
- Practice address
- 310 S Mission St
Wenatchee, WA 98801-3044 - Phone
- (509) 663-2770
- Fax
- (509) 668-3869
- NPI assigned
- Sep 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW61352018 | WA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wenatchee Midwife Service | Midwife | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW61352018 | WA | Yes |
Addresses
Primary practice location
310 S Mission St
Wenatchee, WA 98801-3044
Mailing address
310 S Mission St
Wenatchee, WA 98801-3044
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.