Active NPI
Andrea Barrett-Hollander, CNM
- Advanced Practice Midwife
- Milwaukee, WI
National Provider Identifier
1003202607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 150130-032
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-4777
- Fax
- (414) 805-4774
- NPI assigned
- Apr 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 150130-032 | WI | Primary |
| Advanced Practice Midwife | 367A00000X | AP60981203 | WA | |
| Registered Nurse | 163W00000X | RN60981202 | WA | |
| Nurse Practitioner | 363L00000X | 18941-033 | WI |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-4777
Other practice location 1
5350 Tallman Ave NW Ste 420
Seattle, WA 98107-5902
Phone (206) 781-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003202607 | Medicaid | WA | |
| 1003202607 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60981203 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Health Centers, Inc. | Current | Accepting new patients | |
| Northshore Health Centers, Inc | Advanced Practice Midwife | Current | Accepting new patients |
| Northshore Health Centers Inc | Current | Accepting new patients | |
| Riverbend Medical Group, Inc | Past | Accepting new patients |
Locations
1828 165th St
Ste A
Hammond, IN 46320
Phone (219) 764-5349
6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188
Interoperability endpoints
- andrea.barretthollander.p1@direct.northshorehealth.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Merrillville, IN
- NPI 1114257300
-
- Federally Qualified Health Center (FQHC)
- Hammond, IN
- NPI 1023440526
Advanced Practice Midwife
-
- Federally Qualified Health Center (FQHC)
- East Chicago, IN
- NPI 1336992999
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1003202607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-4777",
"fax_number": "414-805-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-4777",
"fax_number": "414-805-4774"
}
],
"practiceLocations": [
{
"address_1": "5350 Tallman Ave NW Ste 420",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981075902",
"country_code": "US",
"telephone_number": "206-781-6161",
"fax_number": "206-781-6208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRETT-HOLLANDER",
"first_name": "ANDREA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WI",
"license": "150130-032",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP60981203",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60981202",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "18941-033",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003202607",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003202607",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.