Individual provider Active NPI

Victoria Williams, LMP, CD, CBE

  • Doula
  • Everett, WA
National Provider Identifier
1124496799
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
4423 South 3Rd Avenue
Everett, WA 98203-2124
Phone
(425) 346-0437
NPI assigned
Sep 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary
Massage Therapist 225700000X MA60193683 WA

Addresses

Primary practice location

4423 South 3Rd Avenue
Everett, WA 98203-2124

Mailing address

4423 South 3Rd Avenue
Everett, WA 98203-2124
Phone (425) 346-0437

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
MA60193683WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1124496799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 SOUTH 3RD AVENUE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032124",
            "telephone_number": "425-346-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 SOUTH 3RD AVENUE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032124",
            "telephone_number": "425-346-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VICTORIA",
        "credential": "LMP, CD, CBE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60193683",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.