Amanda Jo Pegram, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

CNM08720 Issued in WA

Practice address

910 W 5TH Ave Ste 300
Spokane, WA 99204-2972

Phone

(509) 755-5205

Fax

(509) 755-6580

NPI assigned

Jun 28, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment NPD
• Multicare Health System

  • Diagnostic Radiology Physician
  • Tacoma, WA
  • NPI 1063711562
  NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1356528269
  NPD (past)

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1689351041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 E FARWELL RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089829",
            "telephone_number": "509-951-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W 5TH AVE STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042972",
            "telephone_number": "509-755-5205",
            "fax_number": "509-755-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGRAM",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "CNM08720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie Ashlyn Peery
• Jennifer Anne Peery, LMP
• Alina I Peffer, MD
• Haley Elizabeth Peffer
• Andre Pegeron, MA
• Timothy Bryan Pekari, DSC-PA
• Tenzin Pekyi
• Mayra Lizeth Pelayo
• Tiffani Lana Pelella
• Trina Joy Pelletier, LMP

• Midwife in Spokane, WA
• Providers in Spokane, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.