Organization Active NPI

Womens Mobile Medical - LLC

  • Women's Health Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1871190835
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
WOMENS MOBILE MEDICAL - LLC
Practice address
11318 Bridgeport Way SW Ste a
Lakewood, WA 98499-3054
Phone
(253) 380-8905
Fax
(253) 353-7334
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Jessica Michelle Kirkwood, ARNP, WHNP-BCNPI 1326403536
Title
Ceo, Medical Director, Arnp
Phone
(253) 380-8905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

11318 Bridgeport Way SW Ste a
Lakewood, WA 98499-3054

Mailing address

11318 Bridgeport Way SW Ste a
Lakewood, WA 98499-3054
Phone (253) 380-8905

Other identifiers 1

IdentifierTypeStateIssuer
2135058MedicaidWA

Other names 1

  • The Women's Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicaarnp@the-womens-clinic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210107002275 WA Part B Supplier - Clinic/Group Practice 7315350535 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1871190835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11318 BRIDGEPORT WAY SW STE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993054",
            "telephone_number": "253-380-8905",
            "fax_number": "253-353-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11318 BRIDGEPORT WAY SW STE A",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993054",
            "telephone_number": "253-380-8905",
            "fax_number": "253-353-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS MOBILE MEDICAL - LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-28",
        "status": "A",
        "authorized_official_last_name": "KIRKWOOD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO, MEDICAL DIRECTOR, ARNP",
        "authorized_official_telephone_number": "253-380-8905",
        "authorized_official_credential": "ARNP, WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135058",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicaarnp@the-womens-clinic.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NPI Registry",
            "address_1": "11318 Bridgeport Way SW Ste A",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Women's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.