Active NPI
Melanie Lee McKay, CNM
- Advanced Practice Midwife
- Vancouver, WA
National Provider Identifier
1932209640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- WA AP30002048
- Practice address
- 12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055 - Phone
- (360) 418-6001
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | WA AP30002048 | WA | Primary |
Addresses
Primary practice location
12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055
Mailing address
5615 NE 32ND PL
Portland, OR 97211-6841
Phone (503) 331-1853
Other names 1
- Mrs. Melanie Mitchell Kohl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WA AP30002048 | WA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932209640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 NE 32ND PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972116841",
"telephone_number": "503-331-1853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12607 SE MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986846055",
"telephone_number": "360-418-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "MELANIE",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "WA AP30002048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "KOHL",
"middle_name": "MITCHELL",
"prefix": "MRS.",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.