Active NPI
Katie Sullenbrand, CNM
- Advanced Practice Midwife
- Cedar Rapids, IA
National Provider Identifier
1922305358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- B-114258
- Practice address
- 1525 Cherokee Dr NW
Cedar Rapids, IA 52405-2368 - Phone
- (319) 432-5651
- NPI assigned
- Feb 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | B-114258 | IA | Primary |
Addresses
Primary practice location
1525 Cherokee Dr NW
Cedar Rapids, IA 52405-2368
Mailing address
1525 Cherokee Dr NW
Cedar Rapids, IA 52405-2368
Phone (319) 432-5651
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
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B-114258 | IA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1922305358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 CHEROKEE DR NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524052368",
"telephone_number": "319-432-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 CHEROKEE DR NW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524052368",
"telephone_number": "319-432-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLENBRAND",
"first_name": "KATIE",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IA",
"license": "B-114258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.