Organization Active NPI

Lynden Birth Center

  • Birthing Clinic/Center
  • Lynden, WA
National Provider Identifier
1831844760
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
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

Updated by the provider on Feb 18, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2109294MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL maryburgess555@gmail.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2251667Lynden Birth Center200 3Rd St, Lynden, WA 98264Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.