Individual provider Active NPI

Jean Constance Frey, LM

  • Obstetrics & Gynecology Physician
  • Olympia, WA
National Provider Identifier
1942356704
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00000262 Issued in WA
Practice address
2120 Pacific Ave. SE Around the Circle Midwifery
Olympia, WA 98506-4753
Phone
(360) 459-7222
Fax
(360) 459-7223
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 00000262 WA Primary
Midwife 176B00000X MW262 WA

Addresses

Primary practice location

2120 Pacific Ave. SE Around the Circle Midwifery
Olympia, WA 98506-4753

Mailing address

2120 Pacific Ave. SE Around the Circle Midwifery
Olympia, WA 98506-4753
Phone (360) 459-7222

Other identifiers 2

IdentifierTypeStateIssuer
8440893MedicaidWA
7109655MedicaidWA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MW262WAMDMidwife
00000262WAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942356704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 PACIFIC AVE. SE AROUND THE CIRCLE MIDWIFERY",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064753",
            "telephone_number": "360-459-7222",
            "fax_number": "360-459-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 PACIFIC AVE. SE AROUND THE CIRCLE MIDWIFERY",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064753",
            "telephone_number": "360-459-7222",
            "fax_number": "360-459-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "JEAN",
        "middle_name": "CONSTANCE",
        "name_prefix": "Mrs.",
        "credential": "LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "00000262",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8440893",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109655",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.