Active NPI
Sarah Jane Ambrose, CPM
- Midwife
- Seattle, WA
National Provider Identifier
1174866057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW 60295161
- Practice address
- 3876 Bridge Way N
Ste 300
Seattle, WA 98103 - Phone
- (206) 624-6627
- Fax
- (206) 525-5933
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW 60295161 | WA | Primary |
Addresses
Primary practice location
3876 Bridge Way N
Ste 300
Seattle, WA 98103
Mailing address
3876 Bridge Way N
Ste 300
Seattle, WA 98103
Phone (206) 624-6627
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
| License | State | Type | Specialty |
|---|---|---|---|
| MW 60295161 | WA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina Gutierrez ND LM Inc PS | Midwife | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1174866057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3876 BRIDGE WAY N",
"address_2": "STE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-624-6627",
"fax_number": "206-525-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3876 BRIDGE WAY N",
"address_2": "STE 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98103",
"telephone_number": "206-624-6627",
"fax_number": "206-525-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSE",
"first_name": "SARAH",
"middle_name": "JANE",
"credential": "CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW 60295161",
"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 Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.