Active NPI
Kiera Walsh, BS, CLC, CLD
- Doula
- Summerville, SC
National Provider Identifier
1023399573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1609 Beech Hill Rd
Summerville, SC 29485-7870 - Phone
- (843) 640-5379
- NPI assigned
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1609 Beech Hill Rd
Summerville, SC 29485-7870
Mailing address
180 Garden Lily LN
Summerville, SC 29485-9229
Phone (843) 640-5379
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Confident Co LLC | Lactation Consultant, Non-RN | Current | Accepting new patients |
Locations
1609 Beech Hill Rd
Summerville, SC 29485
Phone (843) 640-5379
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1023399573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 GARDEN LILY LN",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294859229",
"telephone_number": "843-640-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 BEECH HILL RD",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294857870",
"telephone_number": "843-640-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "KIERA",
"credential": "BS, CLC, CLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.