Active NPI
Cyrena Gilpatrick, LM, CPM, MSM
- Midwife
- Mount Vernon, WA
National Provider Identifier
1861036410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW61004742
- Practice address
- 916 S 3Rd St
Mount Vernon, WA 98273-4324 - Phone
- (360) 336-5658
- Fax
- (360) 336-5655
- NPI assigned
- Nov 6, 2019
- 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 | MW61004742 | WA | Primary |
Addresses
Primary practice location
916 S 3Rd St
Mount Vernon, WA 98273-4324
Mailing address
916 S 3Rd St
Mount Vernon, WA 98273-4324
Phone (360) 336-5658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145441 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW61004742 | WA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1861036410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 S 3RD ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734324",
"telephone_number": "360-336-5658",
"fax_number": "360-336-5655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 S 3RD ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734324",
"telephone_number": "360-336-5658",
"fax_number": "360-336-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILPATRICK",
"first_name": "CYRENA",
"credential": "LM, CPM, MSM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW61004742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2145441",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.