Individual provider Active NPI

Anissa Hagen Sartini, CPM

  • Midwife
  • Irving, TX
National Provider Identifier
1659895415
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
2504 Trinity St
Irving, TX 75062-5232
Phone
(903) 267-4423
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Midwife 176B00000X Primary

Addresses

Primary practice location

2504 Trinity St
Irving, TX 75062-5232

Mailing address

2504 Trinity St
Irving, TX 75062-5232
Phone (903) 267-4423

Other identifiers 1

IdentifierTypeStateIssuer
17070016OtherCERTIFIED PROFESSIONAL MIDWIFE

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

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1659895415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 TRINITY ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625232",
            "telephone_number": "903-267-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 TRINITY ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625232",
            "telephone_number": "903-267-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTINI",
        "first_name": "ANISSA",
        "middle_name": "HAGEN",
        "credential": "CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PROFESSIONAL MIDWIFE",
            "identifier": "17070016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.