Individual provider Active NPI

Sarah Kirby Conway, CG60128468

  • Counselor
  • Wenatchee, WA
National Provider Identifier
1043716319
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG60128468 Issued in WA
Practice address
1014 Walla Walla Ave
Wenatchee, WA 98801-1523
Phone
(206) 724-5590
Fax
(206) 724-5590
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60128468 WA Primary

Addresses

Primary practice location

1014 Walla Walla Ave
Wenatchee, WA 98801-1523

Mailing address

1200 Jefferson St
Wenatchee, WA 98801-1931
Phone (206) 724-5590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG60128468WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Home Society Past Accepting new patients
Children'S Home Society of Washington Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1043716319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JEFFERSON ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011931",
            "telephone_number": "206-724-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WALLA WALLA AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011523",
            "telephone_number": "206-724-5590",
            "fax_number": "206-724-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "SARAH",
        "middle_name": "KIRBY",
        "name_prefix": "Miss",
        "credential": "CG60128468",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60128468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.