Provider Demographics
NPI:1386013647
Name:HERRINGTON, SARAH NICOLE (ARNP, FNP, CNM)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:ARNP, FNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8316 49TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-4604
Mailing Address - Country:US
Mailing Address - Phone:425-988-4447
Mailing Address - Fax:
Practice Address - Street 1:3815 S EDMUNDS ST APT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1757
Practice Address - Country:US
Practice Address - Phone:206-532-5072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60557225163W00000X
WAAP60690417363LF0000X, 363L00000X
WAAP60803181367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1386013647Medicaid