Active NPI
Mackenzie Kulsrud
- Advanced Practice Midwife
- Bellevue, WA
National Provider Identifier
1699558007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- AP61589289
- Practice address
- 1231 116TH Ave NE Ste 750
Bellevue, WA 98004-3812 - Phone
- (206) 515-0000
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP61589289 | WA | Primary |
| Registered Nurse | 163W00000X | 61182128 | WA |
Addresses
Primary practice location
1231 116TH Ave NE Ste 750
Bellevue, WA 98004-3812
Mailing address
1959 NE Pacific St
Seattle, WA 98195-0001
Other practice location 1
4704 S Mead St
Seattle, WA 98118-2810
Phone (425) 600-2582
Other practice location 2
1660 S Columbian Way
Seattle, WA 98108-1532
Phone (206) 762-1010
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 |
|---|---|---|---|
| 61182128 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1699558007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 116TH AVE NE STE 750",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043812",
"telephone_number": "206-515-0000"
}
],
"practiceLocations": [
{
"address_1": "4704 S Mead St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981182810",
"country_code": "US",
"telephone_number": "425-600-2582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1660 S Columbian Way",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981081532",
"country_code": "US",
"telephone_number": "206-762-1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULSRUD",
"first_name": "MACKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP61589289",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "61182128",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.