Provider Demographics
NPI:1295073286
Name:UPDIKE, SARAH A (CD(DONA), CNA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:UPDIKE
Suffix:
Gender:F
Credentials:CD(DONA), CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1319 N 69TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-3010
Mailing Address - Country:US
Mailing Address - Phone:913-940-3030
Mailing Address - Fax:
Practice Address - Street 1:1319 N 69TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-3010
Practice Address - Country:US
Practice Address - Phone:913-940-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS192761376K00000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No376K00000XNursing Service Related ProvidersNurse's Aide