Individual provider Active NPI

Danealle Leibsker, CNM

  • Advanced Practice Midwife
  • Spokane, WA
National Provider Identifier
1124094560
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP30007289 Issued in WA
Practice address
1527 E 11TH Ave
Spokane, WA 99202-3503
Phone
(509) 216-8117
NPI assigned
Feb 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP30007289 WA Primary

Addresses

Primary practice location

1527 E 11TH Ave
Spokane, WA 99202-3503

Mailing address

1527 E 11TH Ave
Spokane, WA 99202-3503
Phone (509) 216-8117

Other practice location 1

4703 N Maple St
Spokane, WA 99205-5500
Phone (509) 216-8117

Other practice location 2

2429 E North Altamont Blvd
Spokane, WA 99202-4245
Phone (509) 994-4701

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP30007289WAMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1124094560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 E 11TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023503",
            "telephone_number": "509-216-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 E 11TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023503",
            "telephone_number": "509-216-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4703 N Maple St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992055500",
            "country_code": "US",
            "telephone_number": "509-216-8117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2429 E North Altamont Blvd",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992024245",
            "country_code": "US",
            "telephone_number": "509-994-4701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIBSKER",
        "first_name": "DANEALLE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP30007289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.