Kristi Pietz
Individual provider Active NPI Doula · Ellettsville, IN
NPI 1114797669 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1114797669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 5964 N Crandall Ave
Ellettsville, IN 47429-9445 - Phone
- (812) 876-7328
- NPI assigned
- Jan 5, 2024
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
5964 N Crandall Ave
Ellettsville, IN 47429-9445
Mailing address
5964 N Crandall Ave
Ellettsville, IN 47429-9445
Phone (812) 876-7328
Other providers in Ellettsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. 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.