Amy Blodgett
Individual provider Active NPI Doula · Roy, WA
NPI 1033535083 · NPPES record last updated Mar 14, 2014
Key facts
- NPI
- 1033535083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- 603369365 (WA)
- Practice address
- 34207 82ND Ave S
Roy, WA 98580-9813 - Phone
- (360) 704-9163
- NPI assigned
- Mar 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603369365 | WA | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 603369365 | WA | Yes |
Addresses
Primary practice location
34207 82ND Ave S
Roy, WA 98580-9813
Mailing address
PO Box 460
Roy, WA 98580-0460
Other providers in Roy, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.