WOMENS MOBILE MEDICAL - LLC
NPI 1871190835
Nurse Practitioner - Women's Health in Lakewood, WA

Active since October 02, 2020CLIA 50D2256629 · Waiver
11318 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499(253) 380-8905(253) 353-7334 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Sep 28, 2024, Apr 20, 2024 and 5 more (8 updates tracked since 2020).

About Womens Mobile Medical - Llc NPPES

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

WOMENS MOBILE MEDICAL - LLC (NPI 1871190835), doing business as The Women's Clinic, is a healthcare organization registered as a women's health in Lakewood, Washington and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jessica Michelle Kirkwood, Ceo, Medical Director, Arnp, as its authorized official.

NPPES Registry Identity

NPI1871190835
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameWOMENS MOBILE MEDICAL - LLC
Location Address11318 BRIDGEPORT WAY SW STE ALakewood, WA 98499-3054
Mailing Address11318 Bridgeport Way Sw Ste ALakewood, WA 98499-3054 · (253) 380-8905 · Fax (253) 353-7334
Fax(253) 353-7334
Organization SubpartNo
Authorized OfficialJessica Michelle KirkwoodCeo, Medical Director, Arnp · (253) 380-8905
Enumeration DateOctober 2, 2020
Last NPPES UpdateSeptember 2, 20258 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2024
✔ NPI 1871190835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
11318 BRIDGEPORT WAY SW STE A, Lakewood, WA 98499

Other Names 1

Doing Business AsThe Women's Clinic

Other Identifiers 1

Medicaid2135058WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Womens Mobile Medical - Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Womens Mobile Medical - LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1326403536
11318 BRIDGEPORT WAY SW STE A
Lakewood, WA 98499
(253) 380-8905
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2256629

Women's Mobile Medical · Lakewood, WA
Active · expires Apr 4, 2028
CLIA Number50D2256629
Laboratory TypeArnp
Certificate Effective DateMarch 25, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorKirkwood Jessica
Laboratory Phone(253) 380-8905
Laboratory LocationWomen's Mobile Medical11318 Bridgeport Way SW Ste A, Lakewood, WA 98499
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Womens Mobile Medical - LLC's NPI number?

The NPI number for Womens Mobile Medical - LLC is 1871190835. It was assigned to this organization in the NPPES registry on October 2, 2020. The provider is doing business as The Women's Clinic.

Where is Womens Mobile Medical - LLC located?

Womens Mobile Medical - LLC is located at 11318 Bridgeport Way SW Ste A, Lakewood, WA 98499. The listed phone number is (253) 380-8905.

What is Womens Mobile Medical - LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Womens Mobile Medical - LLC enrolled in Medicare?

Yes. Womens Mobile Medical - LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Womens Mobile Medical - LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Womens Mobile Medical - LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Womens Mobile Medical - LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2256629) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Womens Mobile Medical - LLC accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Womens Mobile Medical - LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Womens Mobile Medical - LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.