Individual provider Active NPI

Alexandra Senechal, CPM, LM

  • Midwife
  • Roy, WA
National Provider Identifier
1669254801
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW61498782 Issued in WA
Practice address
30902 12TH Avenue CT E
Roy, WA 98580-8806
Phone
(310) 619-0731
NPI assigned
Oct 20, 2023
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW61498782 WA Primary

Addresses

Primary practice location

30902 12TH Avenue CT E
Roy, WA 98580-8806

Mailing address

30902 12TH Avenue CT E
Roy, WA 98580-8806

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
MW61498782WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mystic Mountain Midwifery, LLC. Midwife CurrentSince Mar 17, 2024 Accepting new patients
Quilted Health Professional Services Corporation Single Specialty Past Accepting new patients

Organizations & group practices 2

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": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1669254801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30902 12TH AVENUE CT E",
            "city": "ROY",
            "state": "WA",
            "postal_code": "985808806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30902 12TH AVENUE CT E",
            "city": "ROY",
            "state": "WA",
            "postal_code": "985808806",
            "telephone_number": "310-619-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENECHAL",
        "first_name": "ALEXANDRA",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW61498782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roy, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.