JENNIFER A BANDA (NPI# 1629492673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629492673 |
| Entity Type | Individual |
| Full Name | JENNIFER A BANDA |
| Other Name | JENNIFER A REYNICK |
| Credential | CNM |
| Practice Address |
1608 S J St Floor 1 Tacoma WA 98405-4930 |
| Practice Telephone | 2532747501 |
| Practice Fax Number | 2532747991 |
| Mailing Telephone | 2532747501 |
| Mailing Fax Number | 2532747991 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | 001609 | NY | Other Service Providers |
| Y | 367A00000X | Advanced Practice Midwife | AP60427514 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | 001609 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 347010 | 01 |
| Street Address |
1608 S J ST FLOOR 1 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407861172 | Peggy J Thompson | Nurse Practitioner | 1608 S J St, Floor 1, Tacoma, WA 98405-4930 | 2006-07-30 |
| 1992216741 | Nicole A Walker | Registered Nurse | 1608 S J St, Tacoma, WA 98405-4930 | 2017-10-19 |
| 1801332549 | Vladimir Grib | Nurse Practitioner | 1608 S J St, Floor 5, Tacoma, WA 98405-4930 | 2017-01-18 |
| 1861934135 | Meghan De Luca | Advanced Practice Midwife | 1608 S J St, Floor 2, Tacoma, WA 98405-4930 | 2016-11-17 |
| 1871967653 | Chi Franciscan Health | Clinic/Center | 1608 S J St, Tacoma, WA 98405-4930 | 2015-11-17 |
| 1083087399 | Janice Wengye Leung | Nurse Practitioner | 1608 S J St, Tacoma, WA 98405-4930 | 2015-11-09 |
| 1487052676 | Corey Furulie | Dietitian, Registered | 1608 S J St, 1st Floor, Ms 35-10, Tacoma, WA 98405-4930 | 2014-12-20 |
| 1306255948 | Megan Noelani Durkin | Nurse Practitioner | 1608 S J St, 3rd Floor, Tacoma, WA 98405-4930 | 2014-08-07 |
| 1801201603 | Kevin Chuang | Optometrist | 1608 S J St, Floor 3, Tacoma, WA 98405-4930 | 2014-07-01 |
| 1205264835 | Amelia Baisden | Midwife | 1608 S J St, 1st Floor, Ms 35-01, Tacoma, WA 98405-4930 | 2013-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
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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 |
|---|---|---|---|---|
| 1013162239 | Alexandra Michel | Advanced Practice Midwife | 9040 A Fitzsimmons, Madigan Army Medical Center - Ob Gyn, Tacoma, WA 98431 | 2008-12-02 |
| 1245395524 | Judith Ann Michalk | Advanced Practice Midwife | 813 Martin Lurther King Jr Way, Suite # 200, Tacoma, WA 98405 | 2006-12-27 |
| 1467415059 | Heather S Paar | Advanced Practice Midwife | 2115 S 56th St, Suite 301, Tacoma, WA 98409-6902 | 2006-04-06 |
| 1265495865 | Mary-paul Backman | Advanced Practice Midwife | 9040 A Jackson Ave, Tacoma, WA 98431-0001 | 2006-04-06 |
| 1669071429 | Katherine L Mcdonald | Advanced Practice Midwife | 1608 S J St Fl 1, Tacoma, WA 98405-4930 | 2020-10-22 |
| 1942813761 | Jacquelyn Bernadine Baumann | Advanced Practice Midwife | 2115 S 56th St Ste 103, Tacoma, WA 98409-6900 | 2020-08-31 |
| 1629603949 | Ruby Rose Stocking Siagkris | Advanced Practice Midwife | 209 M.l.k. Jr Way, Kaiser Permanente - Midwifery and Women's Health, Tacoma, WA 98405 | 2020-03-06 |
| 1124672043 | Melissa Lesta West | Advanced Practice Midwife | 9040 Jackson Ave, Tacoma, WA 98431-5137 | 2019-07-29 |
| 1124685540 | Sarah Rose | Advanced Practice Midwife | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2019-05-21 |
| 1912447434 | Off The Grid Midwifery and Women's Health | Advanced Practice Midwife | 6002 Westgate Blvd, Suites 270 & 274, Tacoma, WA 98406-2570 | 2017-03-02 |
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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.