Individual provider Active NPI

Alicia Darr, ARNP, CNM

  • Advanced Practice Midwife
  • Coupeville, WA
National Provider Identifier
1912368127
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
N360657337 Issued in WA
Practice address
201 NW Birch St
Coupeville, WA 98239-3129
Phone
(360) 678-0831
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP60650851 WA
Advanced Practice Midwife 367A00000X N360657337 WA Primary

Addresses

Primary practice location

201 NW Birch St
Coupeville, WA 98239-3129

Mailing address

275 SE Cabot Dr
Ste. B101
Oak Harbor, WA 98277-3715

Other identifiers 1

IdentifierTypeStateIssuer
N360657337OtherWAWASHINGTON STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602000370 WA Practitioner - Certified Nurse Midwife (CNM) 9830489954 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
N360657337WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Whidbey Island Public Hospital District Current Accepting new patients
Whidbey Island Public Hospital District Past Accepting new patients

Locations

109 NE Birch St
Coupeville, WA 98239
Phone (360) 678-0831

201 NE Birch St
Coupeville, WA 98239
Phone (360) 240-4013

101 N Main St
Coupeville, WA 98239
Phone (360) 678-7656

5486 Harbor Ave
Freeland, WA 98249
Phone (360) 331-5060

275 SE Cabot Dr
Ste B101
Oak Harbor, WA 98277
Phone (360) 675-6648

Interoperability endpoints

  • Direct secure messaging: alicia.darr@wh.jhie.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1912368127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR",
            "address_2": "STE. B101",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW BIRCH ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393129",
            "telephone_number": "360-678-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARR",
        "first_name": "ALICIA",
        "credential": "ARNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP60650851",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "N360657337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE MEDICAL LICENSE",
            "identifier": "N360657337",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

Verify at the official NPI Registry.