Niki’s Cell Phone: 253-632-6556

Niki’s Pager: 253-934-1230

If I don’t pick up the phone:

I am frequently unable to answer the telephone when it rings; however, I will retrieve messages within 1 hour of your call. I will return most calls within two hours and some non-urgent calls within 24 hours.


Use the pager number if you require immediate attention. The pager is numeric-only; please key in a telephone number for me to call. I will stop what I am doing and call you back within 5-10 minutes.


If you are unable to reach me after repeated attempts and you are experiencing an emergency, please call 911 or proceed immediately to the nearest hospital.


Reasons to Call (warning signs):

  • Your bag of waters has broken; this may be a trickle or a gush. Call/page within 5 minutes.

  • Signs of labor before 37 weeks of pregnancy: this may include menstrual-like low back pain or low abdominal cramps that don’t subside after rest and hydration.

  • Any significant* vaginal bleeding at any time during your pregnancy (*light spotting after 37 weeks is ok).

  • You are concerned that your baby hasn’t moved today, or is moving less frequently.

  • Severe vomiting/inability to keep fluids down.

  • Severe persistent abdominal pain.

  • Fever above 100.4F.

  • Severe, sudden swelling in hands, feet or face that remains after rest and hydration.

  • Severe persistent headache that does not resolve with hydration, rest/sleep, massage, or other home treatments.

  • Dizziness or visual disturbances beyond the first trimester.

  • Pain with peeing, or kidney pain.

  • Painful, reddened area in one leg.

  • Any other urgent medical concerns that cannot wait for a routine return call.

  • Also see your Postpartum Instruction Sheets for a list of reasons to call after the baby is born.


For routine questions and non-urgent concerns, including scheduling questions, you can also reach me by secured email through the Client Care EHR at