Organization Active NPI

Pacific Midwifery Service LLC

  • Midwife
  • Vancouver, WA
National Provider Identifier
1922271147
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
AP30003236 Issued in WA
Legal business name
PACIFIC MIDWIFERY SERVICE LLC
Practice address
2101 NE 139TH St
Suite 255
Vancouver, WA 98686
Phone
(360) 885-7926
Fax
(360) 397-4229
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Tonya Yvonne Tenoid
Title
Office Coordinator
Phone
(360) 397-4227

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X AP30003236 WA Primary
Midwife 176B00000X AP30007791 WA
Midwife 176B00000X AP30007646 WA

Addresses

Primary practice location

2101 NE 139TH St
Suite 255
Vancouver, WA 98686

Mailing address

2101 NE 139TH St
Suite 255
Vancouver, WA 98686
Phone (360) 885-7926

Other identifiers 1

IdentifierTypeStateIssuer
9629148MedicaidWA

National Provider Directory

National Provider Directory

Locations

2101 NE 139th St
Ste 255
Vancouver, WA 98686
Phone (360) 487-4064

Practitioners & affiliated clinicians

Practitioners 2

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1922271147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST",
            "address_2": "SUITE 255",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98686",
            "telephone_number": "360-885-7926",
            "fax_number": "360-397-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST",
            "address_2": "SUITE 255",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98686",
            "telephone_number": "360-885-7926",
            "fax_number": "360-397-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MIDWIFERY SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "TENOID",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "360-397-4227"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "AP30003236",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "AP30007791",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "AP30007646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9629148",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.