Individual provider Active NPI

Sally Lovelle Avenson, ARNP, CNM

  • Maternal Newborn Registered Nurse
  • Seattle, WA
National Provider Identifier
1609932508
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal Newborn Registered NurseTaxonomy code 163WM0102X
License
RN00052841 Issued in WA
Practice address
7602 6TH Ave NE
Seattle, WA 98115-4130
Phone
(206) 527-8773
Fax
(206) 517-4224
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X RN00052841 WA Primary
Midwife 176B00000X AP30000503 WA

Addresses

Primary practice location

7602 6TH Ave NE
Seattle, WA 98115-4130

Mailing address

7602 6TH Ave NE
Seattle, WA 98115-4130
Phone (206) 527-8773

Other identifiers 1

IdentifierTypeStateIssuer
9601592MedicaidWA

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

Interoperability endpoints

  • Direct secure messaging: savenson1041048@wm.providencedirect.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609932508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7602 6TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154130",
            "telephone_number": "206-527-8773",
            "fax_number": "206-517-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7602 6TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154130",
            "telephone_number": "206-527-8773",
            "fax_number": "206-517-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVENSON",
        "first_name": "SALLY",
        "middle_name": "LOVELLE",
        "credential": "ARNP, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "WA",
            "license": "RN00052841",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "AP30000503",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9601592",
            "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 Sep 11, 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.