Active NPI
Off the Grid Midwifery and Women's Health
- Advanced Practice Midwife
- Tacoma, WA
National Provider Identifier
1912447434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP30003731
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9620246 | Medicaid | WA | |
| 1780661694 | Other | NPPES | |
| 12013042 | Other | WA | CAQH |
National Provider Directory
National Provider DirectoryLocations
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
- 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.