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1013483791 NPI number — MOONRISE HEALTH AND BIRTH, INC

NPI Number: 1013483791
Health Care Provider/Practitioner: MOONRISE HEALTH AND BIRTH, INC

Information about “1013483791” NPI (MOONRISE HEALTH AND BIRTH, INC) exists in 1013483791 in HTML format HTML  |  1013483791 in plain Text format TXT  |  1013483791 in PDF (Portable Document Format) PDF  |  1013483791 in an XML format XML  formats.

NPI Number : 1013483791 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013483791",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOONRISE HEALTH AND BIRTH, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20126 BALLINGER WAY NE # 141",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHORELINE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98155-1117",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-670-6752",
    "MailingAddressFaxNumber": "888-691-3151",
    "FirstLinePracticeLocationAddress": "4803 219TH ST SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOUNTLAKE TERRACE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98043",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-670-6752",
    "PracticeLocationAddressFaxNumber": "888-691-3151",
    "EnumerationDate": "10/19/2018",
    "LastUpdateDate": "06/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROSS",
    "AuthorizedOfficialFirstName": "BRANDY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "ND, LM",
    "AuthorizedOfficialTelephoneNumber": "206-930-6027",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "175M00000X",
          "TaxonomyName": "Lay Midwife",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "175F00000X",
          "TaxonomyName": "Naturopath",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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