NPIMap

Organization Active NPI

Elemental Birth, LLC

Doing business as Snohomish Midwives

  • Clinic/Center
  • Snohomish, WA
National Provider Identifier
1912232992
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MW00000286 Issued in WA
Legal business name
ELEMENTAL BIRTH, LLC
Doing business as
Snohomish Midwives
Practice address
57 Cedar Ave
Snohomish, WA 98290-2929
Phone
(877) 869-6105
Fax
(360) 563-2662
NPI assigned
Oct 8, 2009
Last updated
Oct 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Melissa A. Denmark, LMNPI 1295884005
Title
Midwife/Manager/Owner
Phone
(206) 724-5303

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
Clinic/Center 261Q00000X MW00000286 WA Primary

Addresses

Primary practice location

57 Cedar Ave
Snohomish, WA 98290-2929

Mailing address

5719 Riverview Rd
Snohomish, WA 98290-5013
Phone (877) 869-6105

Other identifiers 1

IdentifierTypeStateIssuer
7136716MedicaidWA

Other names 1

  • Snohomish Midwives Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1912232992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5719 RIVERVIEW RD",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982905013",
            "telephone_number": "877-869-6105",
            "fax_number": "360-563-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CEDAR AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902929",
            "telephone_number": "877-869-6105",
            "fax_number": "360-563-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL BIRTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "DENMARK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MIDWIFE/MANAGER/OWNER",
        "authorized_official_telephone_number": "206-724-5303",
        "authorized_official_credential": "LM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MW00000286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7136716",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snohomish Midwives",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.