Active NPI
Gretchen Christine Jones, LM
- Midwife
- Eatonville, WA
National Provider Identifier
1689791378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW00000269
- Practice address
- 207 Center Street East
Eatonville, WA 98328 - Phone
- (360) 832-2167
- Fax
- (360) 496-0308
- NPI assigned
- Mar 26, 2007
- 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 | MW00000269 | WA | Primary |
Addresses
Primary practice location
207 Center Street East
Eatonville, WA 98328
Mailing address
PO Box 972
Morton, WA 98356-0972
Phone (360) 496-0303
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5409JO | Other | WA | REGENCE BLUE SHIELD |
| 7800JO | Other | WA | REGENCE BLUE SHIELD |
| 7113392 | Medicaid | WA |
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 |
|---|---|---|---|
| MW00000269 | WA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689791378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 972",
"city": "MORTON",
"state": "WA",
"postal_code": "983560972",
"telephone_number": "360-496-0303",
"fax_number": "360-496-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 CENTER STREET EAST",
"city": "EATONVILLE",
"state": "WA",
"postal_code": "98328",
"telephone_number": "360-832-2167",
"fax_number": "360-496-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GRETCHEN",
"middle_name": "CHRISTINE",
"credential": "LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW00000269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "5409JO",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "7800JO",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7113392",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eatonville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.