Active NPI
Lynden Birth Center
- Birthing Clinic/Center
- Lynden, WA
National Provider Identifier
1831844760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- Legal business name
- LYNDEN BIRTH CENTER
- Practice address
- 200 3Rd St
Lynden, WA 98264-1411 - Phone
- (360) 510-0188
- Fax
- (844) 411-7474
- NPI assigned
- Feb 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Catherine Burgess, LM, CPM, MA
- Title
- Owner/Midwife
- Phone
- (360) 510-0188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Primary |
Addresses
Primary practice location
200 3Rd St
Lynden, WA 98264-1411
Mailing address
200 3Rd St
Lynden, WA 98264-1411
Phone (360) 510-0188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2109294 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | maryburgess555@gmail.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2251667 | Lynden Birth Center | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
200 3rd St
Lynden, WA 98264
Phone (360) 510-0188
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Lynden, WA
- NPI 1194868844
-
- Midwife
- Lynden, WA
- NPI 1801555834
-
- Doula
- Bellingham, WA
- NPI 1144025024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645142400000",
"number": "1831844760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 3RD ST",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982641411",
"telephone_number": "360-510-0188",
"fax_number": "844-411-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 3RD ST",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982641411",
"telephone_number": "360-510-0188",
"fax_number": "844-411-7474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNDEN BIRTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-18",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "OWNER/MIDWIFE",
"authorized_official_telephone_number": "360-510-0188",
"authorized_official_credential": "LM, CPM, MA"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2109294",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "maryburgess555@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "200 3rd St",
"city": "Lynden",
"state": "WA",
"country_code": "US",
"postal_code": "982641411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lynden, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.