Individual provider Active NPI

Mary Sponsler, MSN, APRN, CNM, PHN

  • Advanced Practice Midwife
  • Sonora, CA
National Provider Identifier
1164987335
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW236534 Issued in CA
Practice address
16575 Draper Mine Rd
Sonora, CA 95370-8430
Phone
(209) 533-2300
Fax
(209) 533-4300
NPI assigned
Feb 1, 2019
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NMW236534 CA Primary
Registered Nurse 163W00000X RN481611 CA

Addresses

Primary practice location

16575 Draper Mine Rd
Sonora, CA 95370-8430

Mailing address

19445 Soulsbyville Rd
Soulsbyville, CA 95372-9742
Phone (209) 288-8726

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, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN481611CAMDRegistered Nurse
NMW236534CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Natural Birth Center LLC Past Accepting new patients

Organizations & group practices 1

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1164987335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19445 SOULSBYVILLE RD",
            "city": "SOULSBYVILLE",
            "state": "CA",
            "postal_code": "953729742",
            "telephone_number": "209-288-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16575 DRAPER MINE RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708430",
            "telephone_number": "209-533-2300",
            "fax_number": "209-533-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONSLER",
        "first_name": "MARY",
        "credential": "MSN, APRN, CNM, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2025-04-24",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW236534",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN481611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.