Jaqxun Rae Darlin, LDM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

543 Issued in CA

Practice address

3300 NE 54TH St
Vancouver, WA 98663-1953

Phone

(206) 552-0061

Fax

(844) 822-7441

NPI assigned

Jun 28, 2016

Last updated

May 3, 2022By the provider in NPPES

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

Other identifiers 1

Other names 1

• Miranda Rae Carr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lynette M Pettibone, LDM, LLC

  dba The Bridge Birth and Family Services

  • Midwife
  • Vancouver, WA
  • NPI 1497400162
  NPD
• The Bridge Birth Center

  • Birthing Clinic/Center
  • Vancouver, WA
  • NPI 1962157628
  NPD

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1740631910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 NE HIGHWAY 99 STE D441",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658858",
            "telephone_number": "206-552-0061",
            "fax_number": "844-822-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NE 54TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986631953",
            "telephone_number": "206-552-0061",
            "fax_number": "844-822-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARLIN",
        "first_name": "JAQXUN",
        "middle_name": "RAE",
        "credential": "LDM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MIDWIFE",
            "identifier": "MW61233724",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "CARR",
            "middle_name": "RAE",
            "credential": "LM, CPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janet Lynn Danowski, REGISTERED NURSE
• Michael B. Dansie, M.D.
• Elizabeth Dantzker
• Linh D Dao, MD
• Darius Arlauskas DMD PLLC
• Juliet Darling
• Steven Theron Darling, DMD, FAGD
• Jennifer Marie Darr
• Marilyn S Darr, MD
• Alysia Dasenbrock, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.