Active NPI
Cynthia Beth Jaffe, L.M.
- Midwife
- Greenbank, WA
National Provider Identifier
1780735498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW00000126
- Practice address
- 3455 Old County Road
Greenbank, WA 98253-0067 - Phone
- (360) 678-3594
- Fax
- (360) 678-3783
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 | MW00000126 | WA | Primary |
Addresses
Primary practice location
3455 Old County Road
Greenbank, WA 98253-0067
Mailing address
PO Box 67
Greenbank, WA 98253-0067
Phone (360) 678-3594
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7047590 | Medicaid | WA | |
| 7036155 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenbank Women'S Clinic and Birth Center, Limited | Midwife | Past | Accepting new patients |
| Greenbank Women'S Clinic and Birth Center, Limited | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Midwife
- Greenbank, WA
- NPI 1396864823
-
- Birthing Clinic/Center
- Greenbank, WA
- NPI 1518086800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1780735498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "GREENBANK",
"state": "WA",
"postal_code": "982530067",
"telephone_number": "360-678-3594",
"fax_number": "360-678-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 OLD COUNTY ROAD",
"city": "GREENBANK",
"state": "WA",
"postal_code": "982530067",
"telephone_number": "360-678-3594",
"fax_number": "360-678-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "CYNTHIA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "L.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW00000126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7047590",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7036155",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbank, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.