Individual provider Active NPI

Faisa Abukar Farole, LICENSE MIDWIFE

  • Midwife
  • Federal Way, WA
National Provider Identifier
1275865651
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
60623982 Issued in WA
Practice address
2319 SW 320TH St
Federal Way, WA 98023-2514
Phone
(206) 683-8167
Fax
(206) 420-0366
NPI assigned
Feb 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 7408917 WA
Midwife 176B00000X 60623982 WA Primary

Addresses

Primary practice location

2319 SW 320TH St
Federal Way, WA 98023-2514

Mailing address

2740 SW 342ND St
Federal Way, WA 98023-7609
Phone (206) 683-8167

Other practice location 1

15203 8th Ave S
Burien, WA 98148-1114
Phone (206) 683-8167

Other identifiers 2

IdentifierTypeStateIssuer
2059612MedicaidWA
7408917MedicaidWA

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
7408917WAMDHealth Educator
60623982WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Federal Way Birth Center CurrentSince Jan 5, 2025 Accepting new patients
Global Perinatal Services CurrentSince Oct 27, 2024 Accepting new patients

Locations

15203 8th Ave S
Burien, WA 98148
Phone (206) 436-9345

2319 SW 320th St
Federal Way, WA 98023
Phone (206) 679-0782

Organizations & group practices 2

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": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1275865651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SW 342ND ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980237609",
            "telephone_number": "206-683-8167",
            "fax_number": "425-207-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 SW 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232514",
            "telephone_number": "206-683-8167",
            "fax_number": "206-420-0366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15203 8th Ave S",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981481114",
            "country_code": "US",
            "telephone_number": "206-683-8167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROLE",
        "first_name": "FAISA",
        "middle_name": "ABUKAR",
        "credential": "LICENSE MIDWIFE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "WA",
            "license": "7408917",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "60623982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059612",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7408917",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.