Active NPI
Sarah Killen, CPM ,LM
- Midwife
- Perry, MI
National Provider Identifier
1619622743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 126805253400
- Practice address
- 11795 Nicholson Rd
Perry, MI 48872-9205 - Phone
- (151) 722-5746
- NPI assigned
- Feb 17, 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 | 126805253400 | UT | Primary |
Addresses
Primary practice location
11795 Nicholson Rd
Perry, MI 48872-9205
Mailing address
11795 Nicholson Rd
Perry, MI 48872-9205
Phone (151) 722-5746
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sarah@michiganmidwiferyco.com |
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 |
|---|---|---|---|
| 126805253400 | UT | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1619622743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11795 NICHOLSON RD",
"city": "PERRY",
"state": "MI",
"postal_code": "488729205",
"telephone_number": "151-722-5746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11795 NICHOLSON RD",
"city": "PERRY",
"state": "MI",
"postal_code": "488729205",
"telephone_number": "151-722-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLEN",
"first_name": "SARAH",
"credential": "CPM ,LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "UT",
"license": "126805253400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sarah@michiganmidwiferyco.com",
"affiliation": "N",
"address_1": "11795 Nicholson Rd",
"city": "Perry",
"state": "MI",
"country_code": "US",
"postal_code": "488729205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Perry, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.