Organization Active NPI

Fly True Midwifery LLC

  • Midwife
  • Port Orchard, WA
National Provider Identifier
1861022832
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
FLY TRUE MIDWIFERY LLC
Practice address
700 Prospect St Ste 201
Port Orchard, WA 98366-5399
Phone
(760) 443-1836
Fax
(360) 938-8791
NPI assigned
Jan 18, 2020
Last updated
Jan 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ashley JonesNPI 1881979086
Title
Owner
Phone
(760) 443-1836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

700 Prospect St Ste 201
Port Orchard, WA 98366-5399

Mailing address

700 Prospect St Ste 201
Port Orchard, WA 98366-5399
Phone (760) 443-1836

Other identifiers 1

IdentifierTypeStateIssuer
2124468MedicaidWA

National Provider Directory

National Provider Directory

Locations

700 Prospect St
Ste 201
Port Orchard, WA 98366
Phone (760) 443-1836

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579305600000",
    "number": "1861022832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PROSPECT ST STE 201",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665399",
            "telephone_number": "760-443-1836",
            "fax_number": "360-938-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PROSPECT ST STE 201",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665399",
            "telephone_number": "760-443-1836",
            "fax_number": "360-938-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLY TRUE MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-443-1836"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2124468",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; 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.