The Sacred Wild, LLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Legal business name

THE SACRED WILD, LLC

Practice address

531 E Thomas Rd Ste 100
Phoenix, AZ 85012-3239

Phone

(213) 440-4825

Fax

(602) 563-8206

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Sarah Helen Green, CNMNPI 1326645318

Title

Owner/Certified Nurse Midwife

Phone

(213) 440-4825

Specialties & licenses 1

Addresses

Other names 1

• Sacred Wild Midwifery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Helen Green, CNM

  • Advanced Practice Midwife
  • Phoenix, AZ
  • NPI 1326645318
  NPD Authorized official

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1972386985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 E THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123239",
            "telephone_number": "213-440-4825",
            "fax_number": "602-563-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 E THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123239",
            "telephone_number": "213-440-4825",
            "fax_number": "602-563-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SACRED WILD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "OWNER/CERTIFIED NURSE MIDWIFE",
        "authorized_official_telephone_number": "213-440-4825",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Wild Midwifery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacred Wild Midwifery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Advanced Practice Midwife in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Advanced Practice Midwife in Arizona

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