Active NPI
Lesley H. Kennedy, CNM
- Advanced Practice Midwife
- Seattle, WA
National Provider Identifier
1275642084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP30001702
- Practice address
- 10521 Meridian Ave N
Seattle, WA 98133-9509 - Phone
- (206) 296-4990
- Fax
- (206) 205-5142
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00089640 | WA | |
| Advanced Practice Midwife | 367A00000X | AP30001702 | WA | Primary |
Addresses
Primary practice location
10521 Meridian Ave N
Seattle, WA 98133-9509
Mailing address
PO Box 3835
Seattle, WA 98124-3835
Phone (206) 548-3114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9604760 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1275642084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3835",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981243835",
"telephone_number": "206-548-3114",
"fax_number": "206-762-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 MERIDIAN AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981339509",
"telephone_number": "206-296-4990",
"fax_number": "206-205-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "LESLEY",
"middle_name": "H.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00089640",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30001702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9604760",
"state": "WA"
}
],
"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 Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.