Lauren B Jaye, CNM
Individual provider Active NPI Advanced Practice Midwife · La Conner, WA
NPI 1750433223 · NPPES record last updated Apr 11, 2017
Key facts
- NPI
- 1750433223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- AP30001875 (WA)
- Practice address
- 941 S 4TH St
La Conner, WA 98257-4717 - Phone
- (360) 420-7413
- Fax
- (888) 890-1130
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP30001875 | WA | |
| Advanced Practice Midwife | 367A00000X | AP30001875 | WA | Yes |
Addresses
Primary practice location
941 S 4TH St
La Conner, WA 98257-4717
Mailing address
1617 E Division St
Mount Vernon, WA 98274-4503
Phone (360) 420-7413
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9603366 | Medicaid | WA | |
| 266646 | Other | WA | LABOR & INDUSTRIES |
| 1750433223 | Medicaid | WA |
Other providers in La Conner, WA
- Tamara M Holmes
- Internal Medicine Consultants NW PS
- Gary Clayton Isham
- Justin Iwasaki
- Sabrina James
- Alicia Jenkins
- John K Fischer DDS PS
- David Michael Johnson
- Laura Lynne Kasayuli
- Latoya Evangelyn Kaubin
All providers in La Conner, WA · Advanced Practice Midwife in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.