Individual provider Active NPI

Gretchen Christine Jones, LM

  • Midwife
  • Eatonville, WA
National Provider Identifier
1689791378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW00000269 Issued in WA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5409JOOtherWAREGENCE BLUE SHIELD
7800JOOtherWAREGENCE BLUE SHIELD
7113392MedicaidWA

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
MW00000269WAMDMidwife

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.

Verify at the official NPI Registry.