Individual provider Active NPI

Jessica W Sawyer, CDM, CPM

  • Lay Midwife
  • Wasilla, AK
National Provider Identifier
1063605467
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
License
49 Issued in AK
Practice address
2650 E Broadview Ave
Wasilla, AK 99654-8302
Phone
(907) 373-3420
Fax
(907) 376-7847
NPI assigned
Aug 20, 2007
Last updated
Aug 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X 49 AK Primary

Addresses

Primary practice location

2650 E Broadview Ave
Wasilla, AK 99654-8302

Mailing address

2650 E Broadview Ave
Wasilla, AK 99654-8302
Phone (907) 373-3420

Other identifiers 2

IdentifierTypeStateIssuer
49OtherAKSTATE OF ALASKA LICENSE
NM3451MedicaidAK

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
49AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Midwifery Inc Past Accepting new patients
Mat-Su Birth Center, LLC PastSince Mar 19, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1063605467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 E BROADVIEW AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548302",
            "telephone_number": "907-373-3420",
            "fax_number": "907-376-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E BROADVIEW AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548302",
            "telephone_number": "907-373-3420",
            "fax_number": "907-376-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "JESSICA",
        "middle_name": "W",
        "credential": "CDM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "AK",
            "license": "49",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ALASKA LICENSE",
            "identifier": "49",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM3451",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.