NPIMap

Organization Active NPI

Sprout Birth Center & Natural Health, PLLC

  • Naturopath
  • Mountlake Terrace, WA
National Provider Identifier
1104200823
Registry record updated Nov 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT 60528476 Issued in WA
Legal business name
SPROUT BIRTH CENTER & NATURAL HEALTH, PLLC
Practice address
22725 44TH Ave W Ste 101
Mountlake Terrace, WA 98043-4500
Phone
(425) 678-9070
Fax
(425) 420-2941
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2015

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

Authorized official

Name
Deborah Gleisner, ND, LM, CPMNPI 1134456718
Title
Owner
Phone
(206) 300-8069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X NT 60528476 WA Primary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X MW 60123752 WA

Addresses

Primary practice location

22725 44TH Ave W Ste 101
Mountlake Terrace, WA 98043-4500

Mailing address

22725 44TH Ave W Ste 101
Mountlake Terrace, WA 98043-4500
Phone (425) 678-9070

Other names 1

  • Sprout Birth Center Doing business as

National Provider Directory

National Provider Directory

Locations

720 Cedar Ave
Ste C
Marysville, WA 98270

22725 44th Ave W
Ste 101
Mountlake Terrace, WA 98043
Phone (425) 338-2357

22725 44th Ave W
Mountlake Terrace, WA 98043
Phone (425) 771-8944

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446854400000",
    "number": "1104200823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 101",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434500",
            "telephone_number": "425-678-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 44TH AVE W STE 101",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434500",
            "telephone_number": "425-678-9070",
            "fax_number": "425-420-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT BIRTH CENTER & NATURAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-11-07",
        "status": "A",
        "authorized_official_last_name": "GLEISNER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-300-8069",
        "authorized_official_credential": "ND, LM, CPM"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT 60528476",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW 60123752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprout Birth Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; 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.