KRISTINA OMALLEY DUBOW (NPI# 1881189470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881189470 |
| Entity Type | Individual |
| Full Name | KRISTINA OMALLEY DUBOW |
| Credential | CNM, APRN, RN |
| Practice Address |
10004 204th Ave E Bonney Lake WA 98391 |
| Mailing Address |
10004 204th Ave E Bonney Lake WA 98391-6539 |
| Practice Telephone | 2534473333 |
| Practice Fax Number | 2534473373 |
| Mailing Telephone | 2534473333 |
| Mailing Fax Number | 2534473373 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 367 | MN | Other Service Providers |
| Street Address |
10004 204TH AVE E |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656284 | Kelly A Osborn | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2005-08-18 |
| 1053946459 | Jean Piere Nieves | Physician Assistant | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2020-03-05 |
| 1508408923 | Heidi Rose Heiser | Midwife | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2019-10-17 |
| 1588115158 | Sujin Lee | Pharmacist | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2016-10-19 |
| 1487101994 | Chi Ming Chan | Pharmacist | 10004 204th Ave E, #1100, Bonney Lake, WA 98391-6539 | 2016-09-01 |
| 1487015657 | Kala Gardner | Occupational Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2016-03-15 |
| 1073985057 | Bryan James Antonius | Radiologic Technologist | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6539 | 2015-10-29 |
| 1487023701 | Rachel Pruessing | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2015-09-16 |
| 1891161865 | Julia Morris | Nurse Practitioner | 10004 204th Ave E, #3400, Bonney Lake, WA 98391-6539 | 2015-08-13 |
| 1891192282 | Christa Diane Fonda | Dietitian, Registered | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408923 | Heidi Rose Heiser | Midwife | 10004 204th Ave E, Bonney Lake, WA 98391-6539 | 2019-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049985 | Skaidre Elena Brown | Midwife | 20800 Hermway Heights Pl, Mount Vernon, WA 98274-8021 | 2020-09-27 |
| 1023622727 | Serenity Quiggle | Midwife | 3205 Ne 78th St Ste 100, Vancouver, WA 98665-0697 | 2020-09-01 |
| 1831708536 | Amanda Laurie Evjene | Midwife | 11171 31st St Ne, Lake Stevens, WA 98258-8210 | 2020-07-28 |
| 1598374803 | Brandy Joy Stuart | Midwife | 1141 Marguerite Ave, Bremerton, WA 98337-1130 | 2020-07-23 |
| 1174149181 | Alison Tillmann | Midwife | 2619 S 128th St, Seatac, WA 98168-3029 | 2020-06-25 |
| 1104442672 | Elizabeth Fay | Midwife | 1317 13th Ave S, Seattle, WA 98144-3405 | 2020-06-22 |
| 1275157695 | Micah D'yarah Tryon | Midwife | 1201 Sycamore Dr Se, Issaquah, WA 98027-4822 | 2020-06-01 |
| 1811526858 | Kathryn Wortham | Midwife | 5629 S Fife St, Tacoma, WA 98409-6231 | 2020-04-02 |
| 1437780012 | Rachel A Pittenger | Midwife | 4300 Talbot Rd S Ste 402, Renton, WA 98055-6238 | 2020-01-31 |
| 1861022832 | Fly True Midwifery LLC | Midwife | 700 Prospect St Ste 201, Port Orchard, WA 98366-5399 | 2020-01-18 |
| Find all providers with the same taxonomy | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
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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.