Active NPI
Anne Moffat, LM
- Midwife
- Bainbridge Island, WA
National Provider Identifier
1619388147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 00000167
- Practice address
- 9222 Fletcher Bay Rd NE
Bainbridge Island, WA 98110-1662 - Phone
- (206) 251-7604
- NPI assigned
- May 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 00000167 | WA | Primary |
Addresses
Primary practice location
9222 Fletcher Bay Rd NE
Bainbridge Island, WA 98110-1662
Mailing address
9222 Fletcher Bay Rd NE
Bainbridge Island, WA 98110-1662
Phone (206) 251-7604
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 |
|---|---|---|---|
| 00000167 | WA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1619388147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9222 FLETCHER BAY RD NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101662",
"telephone_number": "206-251-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9222 FLETCHER BAY RD NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981101662",
"telephone_number": "206-251-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFAT",
"first_name": "ANNE",
"credential": "LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "00000167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.