Individual provider Active NPI

Michelle Renee Sarju, LICENSED MIDWIFE

  • Midwife
  • Seattle, WA
National Provider Identifier
1104940543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
00000225 Issued in WA
Practice address
2200 24TH Ave E
Seattle, WA 98112-3050
Phone
(206) 371-7514
Fax
(206) 328-2310
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 00000225 WA Primary

Addresses

Primary practice location

2200 24TH Ave E
Seattle, WA 98112-3050

Mailing address

426 25TH Ave E
Seattle, WA 98112-4718
Phone (206) 371-7514

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
00000225WAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104940543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 25TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124718",
            "telephone_number": "206-371-7514",
            "fax_number": "206-328-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 24TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123050",
            "telephone_number": "206-371-7514",
            "fax_number": "206-328-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARJU",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "LICENSED MIDWIFE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "00000225",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 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.