Individual provider Active NPI

Kathleen Marie Rose Alexander, CD

  • Doula
  • Portland, OR
National Provider Identifier
1003488909
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
812 NE 53Rd Ave
Portland, OR 97213-3142
Phone
(971) 322-9524
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

812 NE 53Rd Ave
Portland, OR 97213-3142

Mailing address

812 NE 53Rd Ave
Portland, OR 97213-3142

Other names 1

  • Katie Marie Rose-Alexander Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie@bridgetownbaby.com Direct Bridgetown Baby LLC

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

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1003488909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 NE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 NE 53RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133142",
            "telephone_number": "971-322-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE ALEXANDER",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@bridgetownbaby.com",
            "affiliation": "Y",
            "affiliationName": "Bridgetown Baby LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "812 NE 53rd Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972133142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ROSE-ALEXANDER",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.