Individual provider Active NPI

Klaudia Glavan, CD

  • Doula
  • Port St Lucie, FL
National Provider Identifier
1093596371
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
202309219 Issued in FL
Practice address
138 NE Fatima Ter
Port St Lucie, FL 34983-1209
Phone
(772) 925-2290
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 202309219 FL Primary

Addresses

Primary practice location

138 NE Fatima Ter
Port St Lucie, FL 34983-1209

Mailing address

138 NE Fatima Ter
Port St Lucie, FL 34983-1209
Phone (772) 925-2290

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

State licenses

LicenseStateTypeSpecialty
202309219FLMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1093596371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 NE FATIMA TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831209",
            "telephone_number": "772-925-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NE FATIMA TER",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831209",
            "telephone_number": "772-925-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAVAN",
        "first_name": "KLAUDIA",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": "202309219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.