Organization Active NPI

Tidelands Midwifery LLC

  • Midwife
  • Seattle, WA
National Provider Identifier
1063959971
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
TIDELANDS MIDWIFERY LLC
Practice address
4010 Stone Way N Ste 300
Seattle, WA 98103
Phone
(206) 348-9178
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Katherine Sauerlender, LM CPM MSM
Title
Licensed Midwife
Phone
(206) 348-9178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 176B00000X WA Primary

Addresses

Primary practice location

4010 Stone Way N Ste 300
Seattle, WA 98103

Mailing address

PO Box 95234
Seattle, WA 98145-2234
Phone (206) 348-9178

Other identifiers 1

IdentifierTypeStateIssuer
2076930MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1063959971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95234",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981452234",
            "telephone_number": "206-348-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 STONE WAY N STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98103",
            "telephone_number": "206-348-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDELANDS MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "SAUERLENDER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "LICENSED MIDWIFE",
        "authorized_official_telephone_number": "206-348-9178",
        "authorized_official_credential": "LM CPM MSM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076930",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.