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.

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.

As your doula we work directly for you. This means that we will advocate for you in all regards if needed at a home, hospital or birth center birth.

Our primary job is to listen to you deeply and to hold and reiterate your intention through your birth process. And even though births do not always go as planned, we aim to continue to hold the container we have set no matter how things need to change for you and your baby to have a safe and healthy delivery.

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.

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.

Tina Gearhart

Certified Nurse Midwife, Lactation Consultant

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. Another lovely benefit of seeing a midwife for care is that it can either be billed through the membership or insurance!

Dr. KO

Naturopathic Doctor, Licensed Midwife, doula

The Medicine Woman of The Nest, Dr. KO guides healing with a sense of patience, ease, and trust.  She offers an alternative approach to primary care, acute and chronic maladies, and optimizing wellness.  She is particularly gifted with emotionally-focused counseling and bodywork.

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.

Dr. KO is currently not accepting new naturopathic clients; but you are welcome to call us at 509-330-5539 to discuss options and be added to a wait list.

Samantha Straub, Mental Health Therapist, EMDR

Samantha Straub

Mental health therapist

Samantha is a mental health therapist offering counseling and EMDR. Her sweet and naturally loving nature creates a really supportive counseling space. EMDR is an excellent modality for releasing and reprocessing old trauma, or developing internal resources to prepare for upcoming events.

Samantha is currently not accepting new clients; but you are welcome to call us at 509-330-5539 to discuss options and be added to a wait list.

Laura Rose Gage Chinese Medicine practitioner and doula

Laura Rose Gage

Chinese Medicine Practitioner, Herbalist, Doula

Laura is honored to witness and facilitate the soul’s work of her patients and community. She believes that lasting, miraculous healing of the mind and body is found at the spirit level.  Our existence is an amazing joyful gift! Laura hopes for everyone in her life to come to a place of being without condition and living from the sovereignty of our hearts. In Chinese Medicine this is called being in “right relationship” and she practices from the principle that  all dis-ease comes from being out of alignment with our hearts. 

Laura has a passion for working with women in all life stages. She has paid special attention to using acupuncture and Chinese medicine in pregnancy, labor & delivery and postpartum mamas. Becoming a parent is an amazing time of transformation and she is blessed to be a part of this experience. 

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.

Susie Thomsen, Nutritional Coach

Susie Thomsen

Certified Nutrition Coach

As a NASM Certified Nutrition Coach, Susie meets you where you’re at, generously offering grace and compassion around nutrition and wellness habits while educating and counseling about balanced priorities at your own pace. She is a gifted listener and makes her clients feel comfortable and confident. Intuitive eating transformed Susie’s personal relationship with food and her body, and she’s passionate about helping others find that freedom too!

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!

Jess Mallery, doula and student midwife

Jess Mallery

Student Midwife, DONA Birth Doula

Jess provides doula care to families in the hospital, birth center, and home settings. Her goal as a doula is to craft individualized care for her clients and provide a steadying and supportive presence throughout the childbearing experience. Jess is also the student midwife at The Nest, attending office visits and births as an important part of earning her degree from the Midwives College of Utah. Her presence and contributions reflect her deep honor for the experiences of pregnancy, birth, and womanhood.

Jessica Smith, Doula and Lactation Consultant

Jessica Smith

Nurse, Lactation Consultant, Birth and Postpartum Doula

As your doula, lactation specialist and your health advocate, 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.

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.

Lewiston, ID

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

Next to and above Redingers Photography.
Midwifery only at this location – consults, prenatal, and postpartum visits.

"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."
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."
"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."
"Dr. KO is a peaceful presence. Always there to listen and meet you with love exactly where you are at."
"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!"