Individual provider Active NPI

Kristin Jeannine Effland, LM, CPM

  • Midwife
  • Bellingham, WA
National Provider Identifier
1720233752
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW60026400 Issued in WA
Practice address
2430 Cornwall Ave
Bellingham, WA 98225-3415
Phone
(206) 498-2750
Fax
(973) 498-2758
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW60026400 WA Primary

Addresses

Primary practice location

2430 Cornwall Ave
Bellingham, WA 98225-3415

Mailing address

2430 Cornwall Ave
Bellingham, WA 98225-3415
Phone (206) 498-2750

Other identifiers 1

IdentifierTypeStateIssuer
MW60026400OtherWAWA STATE MIDWIFERY LICENSE NUMBER

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
MW60026400WAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1720233752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253415",
            "telephone_number": "206-498-2750",
            "fax_number": "973-498-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253415",
            "telephone_number": "206-498-2750",
            "fax_number": "973-498-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFLAND",
        "first_name": "KRISTIN",
        "middle_name": "JEANNINE",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60026400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MIDWIFERY LICENSE NUMBER",
            "identifier": "MW60026400",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.