Active NPI
Emily Spores, LM, CPM, IBCLC
- Midwife
- Marysville, WA
National Provider Identifier
1487306734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW60923766
- Practice address
- 4409 125TH PL NE
Marysville, WA 98271-8745 - Phone
- (425) 876-5262
- NPI assigned
- Jan 18, 2022
- 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 | MW60923766 | WA | Primary |
Addresses
Primary practice location
4409 125TH PL NE
Marysville, WA 98271-8745
Mailing address
4409 125TH PL NE
Marysville, WA 98271-8745
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 |
|---|---|---|---|
| MW60923766 | WA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1487306734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4409 125TH PL NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982718745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 125TH PL NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982718745",
"telephone_number": "425-876-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORES",
"first_name": "EMILY",
"credential": "LM, CPM, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-18",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "MW60923766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.