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PROVIDENCE HEALTH & SERVICES-WA
NPI 1215225099
Advanced Practice Midwife in Monroe, WA

Active since July 14, 2011
14692 179TH AVE SE, STE 800, MONROE, WA 98272(360) 794-7994(360) 805-4786 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Health & Services-wa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES-WA (NPI 1215225099), doing business as Pmg Nw Wa Midwifery Monrole, is a healthcare organization registered as an advanced practice midwife in Monroe, Washington and active in the NPI registry since July 2011. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1215225099
Entity TypeOrganization
Primary Taxonomy367A00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES-WA
Location Address14692 179TH AVE SE, STE 800Monroe, WA 98272-1162
Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (425) 316-5439 · Fax (425) 316-5484
Phone(360) 794-7994
Fax(360) 805-4786
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateJuly 14, 2011
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1215225099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X
14692 179TH AVE SE, Monroe, WA 98272
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Other Names 1

Doing Business AsPmg Nw Wa Midwifery Monrole

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HENRY PETER LUCKEL PHARMACIST
Pharmacist
14692 179TH AVE SE
MONROE, WA 98272
Snohomish County (360) 794-5555
MRS. HARMONY LYNN MCKENNA-CLARK LMP
Specialist
14692 179TH AVE SE, SUITE 400
MONROE, WA 98272
Snohomish County (360) 863-0960
JESSICA KYLLONEN
Occupational Therapist
14692 179TH AVE SE
MONROE, WA 98272
Snohomish County (360) 804-4353
MELISSA DAWN GOLDSMITH LMP
Specialist
14692 179TH AVE SE, SUITE 400
MONROE, WA 98272
Snohomish County (360) 863-0960
PROVIDENCE HEALTH & SERVICES-WA
Obstetrics & Gynecology
14692 179TH AVE SE, STE 800
MONROE, WA 98272
Snohomish County (425) 258-7550
FOOT CARE ASSOCIATES PC
Podiatrist
14692 179TH AVE SE
MONROE, WA 98272
Snohomish County (360) 794-1266
PEGGY ANN JACKSON-OMAN
Speech-Language Pathologist
14692 179TH AVE SE
MONROE, WA 98272
Snohomish County (360) 804-2500
MS. NANCY LYNNETTE RUKMAN LMP
Specialist
14692 179TH AVE SE, SUITE 400
MONROE, WA 98272
Snohomish County (360) 863-0960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services-Wa's NPI number?

The NPI number for Providence Health & Services-Wa is 1215225099. It was assigned to this organization in the NPPES registry on July 14, 2011. The provider is doing business as PMG NW WA Midwifery Monrole.

Where is Providence Health & Services-Wa located?

Providence Health & Services-Wa is located at 14692 179th Ave SE Ste 800, Monroe, WA 98272. The listed phone number is (360) 794-7994.

What is Providence Health & Services-Wa's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services-Wa was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.