Healthcare Provider Details

I. General information

NPI: 1942302443
Provider Name (Legal Business Name): BARBARA ALICE ANDERSON RN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 12TH AVE GARRAND HALL 200C
SEATTLE WA
98122-4411
US

IV. Provider business mailing address

901 12TH AVE GARRAND HALL 200C
SEATTLE WA
98122-4411
US

V. Phone/Fax

Practice location:
  • Phone: 206-296-5678
  • Fax: 206-296-5544
Mailing address:
  • Phone: 206-296-5678
  • Fax: 206-296-5544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN00161629
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN00161629
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN00161629
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: