MARY T. BOLLES-HOLDER (NPI# 1962427658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962427658 |
| Entity Type | Individual |
| Full Name | MARY T. BOLLES-HOLDER |
| Other Name | MS. MARY THERESA BOLLES |
| Credential | CNM, ARNP |
| Practice Address |
10330 Meridian Ave N Suite 190 Seattle WA 98133-9451 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2063686670 |
| Practice Fax Number | 2063686171 |
| Mailing Telephone | 2065205700 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00089718 | WA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | AP30006303 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | AP30006303 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1962427658 | 05 | |
| WA | 9639014 | 05 | |
| WA | REGENCE BLUESHIELD | 56102U | 01 |
| Street Address |
10330 MERIDIAN AVE N SUITE 190 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-9451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467439 | Lisa A Conaghan | Obstetrics & Gynecology | 10330 Meridian Ave N, Ste 300, Seattle, WA 98133-9463 | 2005-06-16 |
| 1568095347 | Erin Shaw | Physical Therapy Assistant | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2020-02-19 |
| 1427544329 | Victoria Swarthout | Advanced Practice Midwife | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2018-07-03 |
| 1932607942 | David John Reinhart | Physical Therapist | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2018-01-24 |
| 1013462597 | Jessica Lynne Holloway | Physical Therapist | 10330 Meridian Ave N, Seattle, WA 98133-9451 | 2016-08-24 |
| 1578910527 | Dustin William Butler | Physical Therapist | 10330 Meridian Ave N, Ste. 380, Seattle, WA 98133-9451 | 2016-05-19 |
| 1225403777 | Sally Jane Manion | Registered Nurse | 10330 Meridian Ave N, Suite 190, Seattle, WA 98133-9451 | 2015-12-09 |
| 1245614577 | Janell Christianson | Registered Nurse | 10330 Meridian Ave N, Suite 300, Seattle, WA 98133-9451 | 2015-07-16 |
| 1205259462 | Joy Schuler | Registered Nurse | 10330 Meridian Ave N, Suite 300, Seattle, WA 98133-9451 | 2014-01-23 |
| 1700216215 | Lynsey Barker | Registered Nurse | 10330 Meridian Ave N, Suite 300, Seattle, WA 98133-9451 | 2013-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
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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.