The Nest Logo
The Nest Birth & Wellness is a sisterhood of powerful women, working together in collaboration to practice good medicine – uniting traditional healing and evidence based practices to create an exceptional system of healthcare, rooted in love. 
 
We honor each individual’s unique path to that destination, and walk with you in partnership through all the sacred and transformational experiences of your life, womb to tomb. Whether it is guiding you through the journey to motherhood, surrounding you with love as you give birth, celebrating with you your first cycle, holding you as you grieve a loss, or sitting with you as you learn to navigate the trials of daily life – we are here with you. You are not alone. 
 
We understand that true healing takes place at the intersection of body, mind and spirit.
 
It is our intention to create a sacred space for you to come as you are:
to feel safe and connected, informed and empowered for your own healing;
to create a life of deep meaning, freedom from fear, and profound peace;
above all, to discover the joy in understanding, acceptance, and unconditional love for yourself.
Schedule
Our Offerings

Midwifery
Care

Midwifery Care

The Nest midwives offer complete prenatal, labor & delivery, postpartum and newborn care, with the option for birth center or home birth. We also offer well woman, gynecological and reproductive health care services with our certified nurse midwife.

We believe that pregnancy and birth are normal life processes, to be treated with honor and respect.

Vitalistic Whole
Health Care

Vitalistic Whole Health Care

The Nest wellness branch is a multi-disciplinary team of providers, working collaboratively to care for your mental, physical and spiritual health. 

We practice from a vitalist philosophy of medicine, following the wisdom and innate healing ability of your being to uncover the root of any suffering, illness, or disease, and transform it with love – bringing you back to your true, whole self.  

Whole Health Compendium

Whole Health Compendium

The Compendium is an ever-growing  resource repository for living a natural, intentional life.  

We share with you our collective wisdom, knowledge, and experience, from the very practical to the sublime: recipes; herbalism; holistic first aid; traditional  matriarchal practices of healing and ritual; sacred pregnancy, childbearing & parenting stories and skills; and everything in between.

Link coming soon!

Curated Supplements

Curated Supplements

Our providers have done the research to select high quality supplements and herbs so you know you’re getting effective therapeutic supplements.

Our inventory includes bundles – preconception and prenatal package, liver package, immunity package, postpartum anxiety/depression package – as well as individual products for digestion, pediatrics, and more!

Purchase with your provider at your next visit or contact us for office hours.

Our Team

ViviAnne Fischer

Licensed Midwife

ViviAnne brings the deep wisdom of experience to her care for women through prenatal, labor & delivery, and postpartum care.  She integrates the art of traditional midwifery and current knowledge.  ViviAnne enjoys the relationships she develops with families and often creates lasting friendships.  Women appreciate her compassionate, calm and patient nature.

Midwifery care is available at our Pullman, Moscow, and Lewiston offices!

More about ViviAnne
Work with a midwife

Tina Gearhart

Certified Nurse Midwife

As a certified nurse midwife, CNM, Tina is able to provide women’s health midwifery care from adolescence through menopause! She can provide care for Well Woman exams, labs, family planning, and gynecological concerns.  Tina’s straightforward and deeply caring manner really helps women feel informed and empowered in their healthcare. Midwifery care is billable to insurance, Medicaid, or self-pay and is available at our Pullman, Moscow, and Lewiston offices!  Book with any midwife for prenatal care, or book with Tina specifically for Well Woman care.

More about Tina
Work with a midwife

Dr. KO

Naturopathic Doctor, Licensed Midwife

The Medicine Woman of The Nest, Dr. KO guides healing with a sense of patience, ease, and trust.  As a midwife and doula, Dr. KO brings a tender reverence for the sacred transition of birthing.  With a foundation of evidence-based care, she empowers the mother to trust her own body and intuition.  Book with any midwife for prenatal care and Dr. KO will be on your team – the three midwives rotate each week.

Dr. KO is currently not accepting new naturopathic clients; but you are welcome to call us at email office@nestbirthandwellness.com to discuss options and be added to a wait list for intensive spiritual counseling.

Click below to work with Dr. KO in her weekly group offering, Meditation Circle at The Nest in Moscow Wednesdays at 6pm.

More about Dr. KO
Work with Dr. KO
Deborah Webster, Chinese Medicine Practitioner

Deborah Webster

Acupuncturist, Chinese Medicine Practitioner

Deborah believes the body cannot thrive if out of balance and seeks to help her patients feel better through natural means such as diet, and movement, and encouraging their natural healing process with acupuncture. Acupuncture is an amazing, gentle tool that can be used to remind the body that the path to healing is inside all of us. She works with pediatric patients, couples who are preparing for parenthood, and those experiencing pain and discomfort in their bodies. Our bodies reflect what is happening within us and by treating the whole self, our best lives can be appropriately reflected.

Deborah can book at our Pullman or Lewiston offices!

More about Deborah
Work with Deborah

Megan Hewes

Office Manager, Embodiment instructor

As the Office Manager, Megan values kindness, efficiency, and beauty.  She is our point person for scheduling, billing, and special projects; and she loves connecting with each client who comes to The Nest.

In Embodiment fitness classes, Megan creates a non-judgmental environment that encourages you to respect and understand your own body while challenging its cardiovascular system, strength, and flexibility. Above all, expect exercises that feel good and music that makes you want to move!

More about Megan
Work with Megan
Jess Mallery, doula and student midwife

Jess Mallery

Student Midwife, Birth Assistant

Jess brings a steadying and supportive presence to births at home and the birth center. As the student midwife at The Nest, she attends office visits and births as an important part of earning her degree from the Midwives College of Utah. Her contributions to maternity care and delivery reflect her deep honor for the experiences of pregnancy, birth, and womanhood.

More about Jess
Jessica Smith, Doula and Lactation Consultant

Jessica Smith

Lactation Consultant, Nurse

As your lactation specialist my goal is to compassionately support you through your parenthood experience.  I apply a holistic approach to my practice, combining ancient wisdom with evidenced based science to give you a full range of information. My goal is to create a safe space for you to feel connected, honored, and supported in the decisions that give you peace and joy. This is a very challenging, vulnerable, and intimate time in life and having someone to guide you through your journey can be immeasurable. I feel humbled and honored to work beside parents in this transformational time.

More about Jessica
Work with Jessica
Our Locations

Pullman, WA

425 S. Grand Ave
Pullman, WA 99163

Between the Coldwell Banker building and Old European Restaurant. Please parallel park on the south side of the building.

Schedule here

Lewiston, ID

523 1/2 Main St. #207
Lewiston, ID 83501

Next to and above Redingers Photography.
Midwifery visits and Acupuncture offered at this location 

Schedule here

Moscow, ID

424 S Jefferson St.
Moscow, ID 83843

We moved to a new Moscow office! Now located in the white house right behind the old Uma Center.

Schedule here
Love Notes
"My experience at the The Nest was phenomenal. ViviAnne is one of the sweetest and most caring people. She treated me like family and helped me through my pregnancy, birth and postpartum. I'm thankful I get to look back on how special my birth was with my daughter. ViviAnne truly cares for her patients; and goes the extra mile for them."
-Korbi
I've never met anyone like KO - I joke with friends that she knows my soul better than I do sometimes. KO has been a constant source of light, love and healing in my life for several years. She's an effective practitioner, her bodywork practices are gentle and healing, and she is absolutely committed to helping women find their own voice and power through their health and wellness choices."
-Erin
"I appreciated the fact that it was a small business very dedicated to the health and comfort of the people who visited. I felt at home, and like my health was in hands that genuinely cared."
-Jade
"Dr. KO is a peaceful presence. Always there to listen and meet you with love exactly where you are at."
-Brittany
"I love The Nest! ViviAnne, Dr. KO, and Megan are all such amazing, sweet, gentle, and kind ladies! My prenatal/postpartum care, birth, and craniosacral appointments for both me and my baby were all wonderful. I felt loved, cared for, and listened to at every single appointment. I especially appreciate that these alternative ways of care are all available at the same place! I definitely plan on coming back if and when baby #2 comes along!"
-Christina
Previous slide
Next slide
Schedule

(509) 330-5539

office@nestbirthandwellness.com

Fax: (509) 795-0936

Mailing address:

425 S Grand Ave.
Pullman, WA 99163

Our Offerings

Our Locations

ViviAnne Fischer

Licensed Midwife

My journey to midwifery started early.  I was born at home with a midwife and grew up surrounded by women who used herbs, homeopathy and food to heal the body.  I was always drawn to pregnancy and birth, however, I took a few detours along the way!  My boys were born in 2002, 2005, and 2006.  I earned my Masters Degree in Human Development shortly after the birth of my second son – with a focus on families and parenting.  In 2007, I became a birth doula while also teaching at WSU.  The calling to midwifery grew louder over time and I went back to school to earn my bachelors in midwifery and become a certified professional midwife in 2015. I love connecting with families and being a part of their journey.  I am passionate about doing what I can as a midwife to facilitate and hold space for normal physiological birth, with the goal always that women will feel they were well cared for, heard and honored.  I am also excited about advancing midwifery care in the U.S.!  I serve as a committee member on the Midwifery Advisory Council in Washington and the Idaho Midwifery Council in Idaho. 

Work with a midwife

Tina Gearhart

Certified Nurse Midwife

I have been in health care my entire adult life.  I started as a certified nursing assistant working in a nursing home, became a phlebotomist, and an EMT (though, I never worked as an EMT) until I discovered my passion for nursing. I found out I was pregnant with my first daughter the same time I was accepted into nursing school. As a typical first-time mom, I was nervous, excited, and wanted to feel as though I could connect with my OB. After 3 visits of having to explain to him I was there because I was pregnant, I had lost all confidence that he’d be of any use once in labor.  A friend had suggested a CNM (certified nurse midwife), and this was life-changing.  She deserves all the credit for where I am today.  

I attended nursing school at the Colorado Mesa University in Grand Junction, Colorado and graduated with a Bachelor’s of Science in Nursing, in 2002. I started nursing school with a 3 month old, and my second daughter was 3 month old when I graduated… something I don’t necessarily recommend attempting.  While working as a medical/surgical nurse, I attended graduate school at the University of Colorado in Denver and graduated in 2006 with a Master’s in Science specializing in nurse midwifery (Nurse Practitioner, Nurse Midwife).  I would spend the majority of my career in Colorado working in the hospital and clinic setting, until crossing over to the home birth and birth center world. I finished 2021 by becoming an IBCLC (International Board Certified Lactation Consultant). 

I am passionate about women’s health, pregnancy, and birth. I believe in empowering teens to learn and trust their bodies, guiding women and their partners through their low-risk pregnancies and birth, and guiding women through and beyond menopause.  I treat women as a whole – mind-body-spirit – and believe optimal health can be achieved when all three are aligned. As a Certified Nurse Midwife (CNM), I am able to evaluate, diagnose, prescribe medications if needed, and support women throughout the life span. I provide evidenced-based education, resources and recommendations to allow for individuals to make informed decisions about their health in a non-judgemental manner. Types of visits include preconception counseling, birth control (IUDs, Nexplanon, Natural Family Planning, etc.), gynecological visits, annual physical exams, and blood work if needed, and of course prenatal and postpartum visits. As an IBCLC, I support the breastfeeding mama throughout the entire breastfeeding journey. I am also able to evaluate tongue/lip ties and revise them, if and when appropriate.  

I was born in Moscow a few years ago, and grew up on the Palouse. My husband and I live on a lovely farm outside of Palouse that has been passed down by my great-great grandparents who settled here 1913.  I have two grown daughters (22 & 19), one of which is a pharmacy tech, and the other is currently attending WSU – Go Cougs! I am also lucky enough to have two bonus boys (12 & 10); along with the true rulers of the farm, a 7yr old white golden retriever and a 6yr old German Shepard. We are looking forward to bringing more animals back to the farm in the near future.  I love lifestyle photography and more recently have delved into birth photography.  I enjoy running, reading and audible books, gardening, and might be a bit of a wine enthusiast; mostly though, I just enjoy being at home with my husband.

Work with a midwife

Dr. KO

Naturopathic Doctor, Licensed Midwife

I was born and raised in a suburb of Minneapolis, Minnesota. I graduated from Bastyr University as a doctor of naturopathic medicine. I am also in the final stages of completing a Masters of Science in Midwifery from Bastyr. I was brought to midwifery and naturopathic medicine through the desire for a life dedicated to the pursuit of the overwhelming joy of loving service. I have been volunteering with several organizations to serve underprivileged children in various countries since the age of 16.

I attended Stanford University and graduated with a degree in neurological psychology and a minor in human biology. As I gained more focus on healthcare throughout my undergraduate career, I geared my service work towards sexual and women’s health. After graduation, my entrepreneurial spirit and search for a more holistic system of medicine brought me to a career in naturopathic medicine, and training as a craniosacral and visceral manipulation practitioner and massage therapist. I am very dedicated to the power of holistic healthcare, and I believe firmly in the ability of each individual to manifest their own health. I have begun my clinical education at Bastyr; while my skills continue to evolve, the clinical style I always attempt to embody is illustrated by the phrase, ‘listening in love.’

I came to midwifery through a desire to support health from conception. I ascribe to the belief that a child’s time in the womb and experience of birth are some of the most formative health experiences, and these experiences will continue to impact the health of the individual throughout the entirety of their life.  In addition, I am drawn to the empowerment of women that pervades the field of midwifery, returning to women their dignity and power, and supporting the reclamation of birth by the women who are giving it.

I truly believe that giving birth is one of the most important events that will occur in the life of a woman; I cannot adequately express how excited, honored and grateful I am to have the opportunity to partner with women in this experience.

The foundation of my life, belief, and medical practice is this:

All illness would be eradicated if we could all remember the one essential truth-

Everything is love.

Work with Dr. KO
Deborah Webster, Chinese Medicine Practitioner

Deborah Webster

Acupuncturist, Chinese Medicine Practitioner

Deborah Webster is a licensed acupuncturist who graduated with her Master of Science in Acupuncture and Oriental Medicine from South Baylo University and holds a bachelor’s degree in Kinesiology with an emphasis in Exercise Science. She loves to help her patients move and feel their best without pain or discomfort. Deborah has experience in treating a wide range of disorders and patient issues which has given her the tools to understand that each person is unique and will have their own healing journey. Our bodies reflect what is happening within us and by treating the whole self, our best lives can be appropriately reflected. This is true for her wellness, fertility, pregnancy, and postpartum patients who are preparing their bodies for the next stage in life. For patients with chronic or acute pain syndromes, Deborah loves the moment when they tell her they are pain-free and they are able to come up with a plan to keep them moving and living their best life. For her pediatric patients, she seeks to help them feel comfortable and safe as they are growing. Acupuncture helps the body by increasing circulation, stimulating the immune system, and improving the body’s pain response. It is both gentle and effective at helping to bring the body back to balance.

Work with Deborah

Megan Hewes

Office Manager, Embodiment instructor

I have been the Office Manager of The Nest since October 2018 and am so grateful to be a part of this holistic practice.  My experience here has been both as staff and patient, as I delivered both of my babies at home with The Nest!  Before coming to The Nest I worked in fitness since 2010, with a Bachelors of Science in Kinesiology from WSU and certifications as a fitness instructor and personal trainer.  I am thrilled to merge my background in exercise with the vitalistic approach of The Nest to offer classes that not only challenge cardio, strength, mobility, and balance, but incorporate a meditative quality of movement and closeness with our emotions.

Embodiment fitness classes:

Tuesdays & Thursdays 9:30am

All ages and bodies are welcome in this mindful movement practice that promotes vitality, strength, mobility, and balance. Music-led exercises blend yoga, qigong, dance, weightlifting, and calisthenics with plenty of options to honor and adapt to your body as it is right now, including senior, prenatal, and postpartum bodies. Try out your first class for free!

Then $15/class or 8 for $12/class

Location: Pullman Parks & Rec Center, Room 213

190 SE Crestview St.
Pullman, WA 99163

book here
Jess Mallery, doula and student midwife

Jess Mallery

Student Midwife, DONA Birth Doula

When I was 11 years old, I attended the birth of my little sister. This experience laid the foundation for a lifelong fascination with all things pertaining to childbearing and women’s health. I received excellent midwifery care during my own pregnancies, which inspired me to become a midwife myself. I am currently in midwifery school and have been honored to learn from several local midwives, including the amazing midwives at The Nest. I’ve attended nearly 100 births and am grateful for each of these experiences.

I also work independently as a doula (find me at palousedoulacollective.org).  My goal is to provide support that is suited to the needs of each woman and her family. Creating such support requires time, attentiveness, and honor for the unique needs of each client. Because of this, I place high value on prenatal visits in which we get to know each other, explore individual goals, preferences, concerns, and questions. I do my utmost to ensure my clients have access to evidence-based information, are honored in their decisions, and feel prepared to welcome their baby. I support labor and delivery through in-person emotional and physical care. And in the early postpartum days, I remain available to offer a listening ear, gentle advice if it is desired, and connection to additional community resources. It is my joy and privilege to support this sacred and ordinary process.

When I’m not busy with birth work, I enjoy cooking, making things with yarn and fabric, and exploring with my family. My husband and I live in Latah County, Idaho, and have five children.

Jessica Smith, Doula and Lactation Consultant

Jessica Smith

Nurse, Lactation Consultant

Hi there, I’m Jessica Smith. I offer lactation consultation at The Nest for the greater Palouse community, whether you are a Nest midwifery patient or not.  I’m a nurse, IBCLC (International Board Certified Lactation Consultant), Certified Birth and Postpartum Doula (find me at palousedoulacollective.org), and Certified Breastfeeding Educator. I’m also a rural, homeschool momma of four littles living on our regenerative farm with ALL the animals in Palouse, WA.

My interest in wellness, birth, babies and maternal health started from a young age. During high school and college I taught swim lessons and worked at a long term care facility as well as a special needs home. Upon graduation I worked as a school nurse, pediatric home-care nurse, and a minor-care/ready-care nurse. But, soon my passion for the healthcare, or rather dis-ease care system began to wane. I was constantly trying to get my patients outdoors to experience the world and nature around them. I wanted to help them live healthy, balanced lifestyles. My passion for getting back to nature and our roots continues throughout my own life and blends into my work. This is why I take a “holistic” approach.

When my own journey with motherhood began, I was awakened to the fact that in our culture there is a disconnect between birth and postpartum. Like many, I prepared for the birth but never really gave much thought to postpartum. While planning for birth is important, planning for the postpartum period is even more important. I found myself struggling with lack of resources and unable to ask for help. I struggled with breastfeeding, low supply, and ended up supplementing. Through help of doctors and lactation consultants we ended up saving my breastfeeding experience for two years and then was able to successfully tandem nurse when baby #2 arrived! I experienced birth trauma and postpartum anxiety & depression. I struggled to find balance and healing again after each baby. I came across Julia Jones Newborn Mother’s Collective, Ayurveda Postpartum care and found the missing link in my postpartum experience. Through the wisdom of ancient traditions and scientific role of Oxytocin, I learned what we have missed in our culture. While there’s much from ancient traditions and culture, we can’t apply to our modern lifestyle there are two culturally universal things we can do, help and support the new mother and offer nutrient dense, warm prepared meals.

Through my pediatric nursing experience, I cared for many previous NICU babies with unique challenges, in which I saw a vast difference in the ones who were fed breastmilk. This led me to dive deeper into the lactation world and fueled my love for working with families through difficult times. I furthered my education and became certified as a breastfeeding educator and birth doula.  Birth work has caused me to look deeper at my own healing so I can show up for clients with positive energy. As your lactation consultant my goal is to support you through your experience. I love working and troubleshooting through challenges with clients to apply what feels right for you and your needs. I want to guide you where necessary with an open mind well as empower you and promote healthy lifestyle.

The best to you, Jessica

Special Trainings:

  • Midwife Assistant Training | 2009
  • Lewis-Clark State College, Nursing Graduate | 2011
  • Postpartum Doula Training, Newborn Mother’s Collective | 2015
  • Certified Birth Doula | 2015
  • Certified Lactation Educator, Evergreen Perinatal Education | 2016
  • Intuitive Birth for Birth-Workers | 2019
  • Perinatal Mood and Anxiety Workshop, Perinatal Support Washington | 2020
  • University of San Diego Extension, Lactation Consultant Didactic and Internship | 2021
  • Steamy Chick, Peri-Steam Facilitator | 2021
  • Tongue Tie, A Comprehensive Approach to Assessment and Care, Melissa Cole, MS, IBCLC | 2022
  • International Board Certified Lactation Consultant | 2022
Work with Jessica