MIA ELIZABETH PELT (NPI# 1114117926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114117926 |
| Entity Type | Individual |
| Full Name | MIA ELIZABETH PELT |
| Credential | RN, CNM |
| Practice Address |
5350 Tallman Ave Nw Suite 420 Seattle WA 98107-5902 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2067816080 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2014-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | AP60093356 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5350 TALLMAN AVE NW SUITE 420 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609853597 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 5350 Tallman Ave Nw, Suite 310, Seattle, WA 98107-5902 | 2005-12-30 |
| 1003364548 | Justin Bowles | Pharmacist | 5350 Tallman Ave Nw, Seattle, WA 98107-5902 | 2016-09-13 |
| 1275996753 | Laboratory Corporation of America | Clinical Medical Laboratory | 5350 Tallman Ave Nw, Suite 310, Seattle, WA 98107-5902 | 2016-04-01 |
| 1902213119 | Vera Whole Health Wa PC | Clinic/Center | 5350 Tallman Ave Nw, Suite 510, Seattle, WA 98107-5902 | 2014-07-20 |
| 1588958599 | Amber Farook | Family Medicine | 5350 Tallman Ave Nw, Ste 301, Seattle, WA 98107-3932 | 2011-06-07 |
| 1477844991 | Andrew Le | Family Medicine | 5350 Tallman Ave Nw, Ste 301, Seattle, WA 98107-5902 | 2011-05-02 |
| 1932420155 | Meghan Leigh Schott | Emergency Medicine | 5350 Tallman Ave Nw, Seattle, WA 98107-5902 | 2010-06-22 |
| 1902123623 | Aubrey Lyn Girolamo I | Internal Medicine | 5350 Tallman Ave Nw, Suite 301, Seattle, WA 98107-5902 | 2010-04-21 |
| 1760656805 | Wendy Wai Chang | Obstetrics & Gynecology | 5350 Tallman Ave Nw, Suite #420, Seattle, WA 98107-5902 | 2008-04-19 |
| 1396864963 | Marc Yale Burdick | Emergency Medicine | 5350 Tallman Ave Nw, Seattle, WA 98107 | 2007-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114548534 | Quilted Health Professional Services Corporation | Advanced Practice Midwife | 4311 11th Ave Ne Fl 5, Seattle, WA 98105-6366 | 2020-04-27 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1306199633 | Mallory Anne Betz | Advanced Practice Midwife | 2514 41st Ave E, Apt 347, Seattle, WA 98112-2559 | 2012-10-24 |
| 1194070300 | Shari L Luchino | Advanced Practice Midwife | 4550 Fauntleroy Way Sw Ste 200, Seattle, WA 98126-3471 | 2012-07-13 |
| 1225326465 | Amanda Marie Deardorff | Advanced Practice Midwife | 2511 Ne 100th St, Seattle, WA 98125-7707 | 2011-07-20 |
| 1356595052 | Cecilia J Cordova | Advanced Practice Midwife | 6215 Ravenna Ave Ne, Seattle, WA 98115-7025 | 2008-11-07 |
| 1912935511 | Fra Na Ready | Advanced Practice Midwife | 2116 N 42nd St, Seattle, WA 98103-7610 | 2006-06-30 |
| 1568437168 | Helen Ruth Gabel | Advanced Practice Midwife | 10330 Meridian Ave N #190., The Midwives Clinic, Seattle, WA 98133 | 2006-02-17 |
| 1962489286 | Karen Elaine Hays | Advanced Practice Midwife | 5651 12th Ave Ne, Seattle, WA 98105-2603 | 2005-12-28 |
| 1720688427 | Angelo John Jamora | Advanced Practice Midwife | 325 9th Ave, Seattle, WA 98104-2420 | 2020-10-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.