Individual provider Active NPI

Marie W Wakefield, ND, LM

  • Midwife
  • Tacoma, WA
National Provider Identifier
1649420266
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW00000290 Issued in WA
Practice address
5302 104TH St E
Tacoma, WA 98446
Phone
(206) 356-7299
Fax
(253) 248-0153
NPI assigned
Sep 19, 2008
Last updated
Sep 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NT00001290 WA
Midwife 176B00000X MW00000290 WA Primary

Addresses

Primary practice location

5302 104TH St E
Tacoma, WA 98446

Mailing address

6913 227TH Street CT E
Spanaway, WA 98387-5841
Phone (206) 356-7299

Other identifiers 1

IdentifierTypeStateIssuer
7127723MedicaidWA

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

LicenseStateTypeSpecialty
NT00001290WAMDNaturopath
MW00000290WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Beginnings Midwifery Care LLC Midwife CurrentSince Sep 12, 2021 Accepting new patients

Locations

12815 Canyon Rd E
Ste L
Puyallup, WA 98373
Phone (206) 356-7299

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1649420266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 227TH STREET CT E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983875841",
            "telephone_number": "206-356-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 104TH ST E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98446",
            "telephone_number": "206-356-7299",
            "fax_number": "253-248-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "MARIE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "ND, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2021-09-09",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00001290",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW00000290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127723",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.