Individual provider Active NPI

Tina M Gearhart, CNM

  • Advanced Practice Midwife
  • Pullman, WA
National Provider Identifier
1992908511
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60659377 Issued in WA
Practice address
425 S Grand Ave
Pullman, WA 99163-2751
Phone
(509) 330-5539
Fax
(509) 795-0936
NPI assigned
Jun 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X AP60659377 WA
Advanced Practice Midwife 367A00000X RXM-8029 CO
Advanced Practice Midwife 367A00000X 201603004 OR
Advanced Practice Midwife 367A00000X AP60659377 WA Primary

Addresses

Primary practice location

425 S Grand Ave
Pullman, WA 99163-2751

Mailing address

672 Olson Rd
Palouse, WA 99161-9773
Phone (206) 401-2474

Other practice location 1

315 Martin Luther King Jr. Way
MultiCare Health System
Tacoma, WA 98405
Phone (253) 403-1000

Other identifiers 1

IdentifierTypeStateIssuer
80174019MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170524000319 WA Practitioner - Certified Nurse Midwife (CNM) 8921178336 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP60659377WAMDMidwife
RXM-8029COMDAdvanced Practice Midwife
201603004ORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Apr 3, 2017 Accepting new patients
Multicare Health System CurrentSince Apr 3, 2017 Accepting new patients
Rolling Hills Birth Centers, LLC Past Accepting new patients
Public Hospital District No 3 of Whitman County Past Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients
Rolling Hills Midwifery, PLLC Midwife Past Accepting new patients
Quilted Health Professional Services Corporation Advanced Practice Midwife Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1992908511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 OLSON RD",
            "city": "PALOUSE",
            "state": "WA",
            "postal_code": "991619773",
            "telephone_number": "206-401-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S GRAND AVE",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632751",
            "telephone_number": "509-330-5539",
            "fax_number": "509-795-0936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Martin Luther King Jr. Way",
            "address_2": "MultiCare Health System",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98405",
            "country_code": "US",
            "telephone_number": "253-403-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEARHART",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "AP60659377",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "RXM-8029",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201603004",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60659377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80174019",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.