Kesslyn Grace Elsyon Martha Sander, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

4217 N Hawthorne St
Spokane, WA 99205-1339

Phone

(509) 993-1884

NPI assigned

Dec 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Kesslyn Grace Elsyon Martha Fleck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1669288312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 N HAWTHORNE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051339",
            "telephone_number": "509-993-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 N HAWTHORNE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051339",
            "telephone_number": "509-993-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDER",
        "first_name": "KESSLYN",
        "middle_name": "GRACE ELSYON MARTHA",
        "credential": "CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KESSLYN",
            "last_name": "FLECK",
            "middle_name": "GRACE ELSYON MARTHA",
            "credential": "CPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd Dellner Sandberg, MS, ATC
• Kalyn Virginia Sande, COUNSELOR
• Perrin Sean Sande, RPH
• Phillip Sandefer, RPH
• Kathryn E Sander, ARNP
• Lynn Sander, RN, CDE
• Sebastian Sander
• Allan D Sanders, MN ARNP
• Anne M Sanders, MT
• Dawnya Sanders

• Midwife in Spokane, WA
• Providers in Spokane, WA by specialty
• Midwife in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.