Organization Active NPI

Off the Grid Midwifery and Women's Health

  • Advanced Practice Midwife
  • Tacoma, WA
National Provider Identifier
1912447434
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP30003731 Issued in WA
Legal business name
OFF THE GRID MIDWIFERY AND WOMEN'S HEALTH
Practice address
6002 Westgate Blvd
Suites 270 & 274
Tacoma, WA 98406-2570
Phone
(253) 509-2960
Fax
(253) 292-1045
NPI assigned
Mar 2, 2017
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mrs. Kathryn B Jackson, CNM, ARNP
Title
Owner, Administrator
Phone
(253) 509-2960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP30003731 WA Primary

Addresses

Primary practice location

6002 Westgate Blvd
Suites 270 & 274
Tacoma, WA 98406-2570

Mailing address

6002 Westgate Blvd
Suite 120
Tacoma, WA 98406-2570
Phone (253) 509-2960

Other identifiers 3

IdentifierTypeStateIssuer
9620246MedicaidWA
1780661694OtherNPPES
12013042OtherWACAQH

National Provider Directory

National Provider Directory

Locations

6002 Westgate Blvd
Ste 120
Tacoma, WA 98406
Phone (253) 509-2960

6002 Westgate Blvd
Ste 270
Tacoma, WA 98406
Phone (253) 509-2960

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21919/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1912447434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD",
            "address_2": "SUITE 120",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062570",
            "telephone_number": "253-509-2960",
            "fax_number": "253-292-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 WESTGATE BLVD",
            "address_2": "SUITES 270 & 274",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062570",
            "telephone_number": "253-509-2960",
            "fax_number": "253-292-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFF THE GRID MIDWIFERY AND WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "253-509-2960",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNM, ARNP"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP30003731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9620246",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1780661694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12013042",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.