Individual provider Active NPI

Lisa Marguerite Arnold, CNM

  • Advanced Practice Midwife
  • Kirkland, WA
National Provider Identifier
1447563267
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP60178147 Issued in WA
Practice address
12303 NE 130TH LN
Suite 500
Kirkland, WA 98034-3099
Phone
(425) 899-4455
Fax
(425) 899-4434
NPI assigned
Jul 21, 2010
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 AP60178147 WA Primary

Addresses

Primary practice location

12303 NE 130TH LN
Suite 500
Kirkland, WA 98034-3099

Mailing address

12303 NE 130TH LN
Suite 500
Kirkland, WA 98034-3099
Phone (425) 899-4455

Other practice location 1

5350 Tallman Ave NW Ste 420
Seattle, WA 98107-5902
Phone (206) 781-6080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address larnold1041033@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110701000212 WA Practitioner - Certified Nurse Midwife (CNM) 8628256161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

5300 Tallman Ave NW
Suite 2E
Seattle, WA 98107-3932
Phone (206) 781-6010

5300 Tallman Nwave
Seattle, WA 98107-3932
Phone (206) 782-2700

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince May 11, 2011 Accepting new patients
Swedish Health Services CurrentSince May 11, 2011 Accepting new patients

Locations

5350 Tallman Ave NW
Ste 420
Seattle, WA 98107
Phone (206) 781-6080

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 5th Ave
Ste 600
Seattle, WA 98104

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, 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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1447563267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN",
            "address_2": "SUITE 500",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343099",
            "telephone_number": "425-899-4455",
            "fax_number": "425-899-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 NE 130TH LN",
            "address_2": "SUITE 500",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343099",
            "telephone_number": "425-899-4455",
            "fax_number": "425-899-4434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 Tallman Ave NW Ste 420",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075902",
            "country_code": "US",
            "telephone_number": "206-781-6080",
            "fax_number": "206-781-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "LISA",
        "middle_name": "MARGUERITE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60178147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "larnold1041033@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5350 Tallman Ave NW Ste 420",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981075902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.