Active NPI
Kelly Torok, CLC, MT
- Doula
- Olympia, WA
National Provider Identifier
1073836243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 900 Jefferson St
Olympia, WA 98507 - Phone
- (808) 651-6110
- NPI assigned
- Mar 2, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Basic Emergency Medical Technician | 146N00000X | |||
| Lactation Consultant (Registered Nurse) | 163WL0100X | ALPP#24181 | HI | |
| Massage Therapist | 225700000X | |||
| Doula | 374J00000X | Primary | ||
| Homemaker | 376J00000X |
Addresses
Primary practice location
900 Jefferson St
Olympia, WA 98507
Mailing address
PO Box 257 PMB 6366
Olympia, WA 98507
Phone (808) 651-6110
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
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALPP#24181 | HI | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1073836243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 257 PMB 6366",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98507",
"telephone_number": "808-651-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 JEFFERSON ST",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98507",
"telephone_number": "808-651-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOROK",
"first_name": "KELLY",
"credential": "CLC, MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-02",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "HI",
"license": "ALPP#24181",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.