Gig Harbor Midwifery, PLLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

GIG HARBOR MIDWIFERY, PLLC

Practice address

11505 Burnham Dr Ste 104
Gig Harbor, WA 98332-9173

Phone

(253) 632-6556

Fax

(253) 442-6120

NPI assigned

Mar 14, 2021

Organization subpart

No

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

Authorized official

Name

Nicole Coraggio, LM, CPMNPI 1972810950

Title

Owner

Phone

(253) 632-6556

Specialties & licenses 1

Addresses

Other identifiers 2

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

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Ruth Ke'Ala Coraggio, LM

  • Midwife
  • Gig Harbor, WA
  • NPI 1972810950
  NPD (past) Authorized official
• Talia Irene Ross, LM, CPM

  • Midwife
  • Gig Harbor, WA
  • NPI 1982499125
  NPD (past)
• Hannah Rose Young, LM, CPM

  • Midwife
  • Gig Harbor, WA
  • NPI 1235826629
  NPD (past)

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615680000000",
    "number": "1861077562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 115TH STREET CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983329330",
            "telephone_number": "253-632-6556",
            "fax_number": "253-442-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 BURNHAM DR STE 104",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983329173",
            "telephone_number": "253-632-6556",
            "fax_number": "253-442-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIG HARBOR MIDWIFERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A",
        "authorized_official_last_name": "CORAGGIO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-632-6556",
        "authorized_official_credential": "LM, CPM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598374803",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972810950",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gig Harbor Counseling Services, LLC
• Gig Harbor Eye PLLC
• Gig Harbor Foot & Ankle Clinic, LLC
• Gig Harbor Medical Spa
• Gig Harbor Medical Supplies
• Gig Harbor Naturopathic Medicine PS
• Gig Harbor Operations, LLC
• Gig Harbor Pediatric Occupational Therapy LLC
• Gig Harbor Primary Care LLC
• Gig Harbor SNF Operations LLC

• Midwife in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.