Individual provider Active NPI

Amy Louise Seidewand, LM, CPM

  • Midwife
  • Poulsbo, WA
National Provider Identifier
1780232397
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW60977859 Issued in WA
Practice address
20696 Bond Rd NE Ste 110
Poulsbo, WA 98370-9025
Phone
(360) 779-0004
Fax
(206) 260-1261
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW60977859 WA Primary

Addresses

Primary practice location

20696 Bond Rd NE Ste 110
Poulsbo, WA 98370-9025

Mailing address

4235 Eaglemount Rd
Chimacum, WA 98325-8760
Phone (831) 332-6519

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

LicenseStateTypeSpecialty
MW60977859WAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1780232397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 EAGLEMOUNT RD",
            "city": "CHIMACUM",
            "state": "WA",
            "postal_code": "983258760",
            "telephone_number": "831-332-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20696 BOND RD NE STE 110",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709025",
            "telephone_number": "360-779-0004",
            "fax_number": "206-260-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDEWAND",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WA",
            "license": "MW60977859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.