Individual provider Active NPI

Alisha De Zagottis, LM

  • Midwife
  • Bellingham, WA
National Provider Identifier
1861959819
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW60893902 Issued in WA
Practice address
286 Chuckanut Point Rd
Bellingham, WA 98229-8978
Phone
(360) 624-0650
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X MW60893902 WA Primary

Addresses

Primary practice location

286 Chuckanut Point Rd
Bellingham, WA 98229-8978

Mailing address

286 Chuckanut Point Rd
Bellingham, WA 98229-8978
Phone (360) 624-0650

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

LicenseStateTypeSpecialty
MW60893902WAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1861959819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 CHUCKANUT POINT RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982298978",
            "telephone_number": "360-624-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 CHUCKANUT POINT RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982298978",
            "telephone_number": "360-624-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ZAGOTTIS",
        "first_name": "ALISHA",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60893902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.