Active NPI
Jillene Sue Kissel, CLD,CPD
- Doula
- Huntersville, NC
National Provider Identifier
1144546367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 26824641
- Practice address
- 902 Southland Rd
Huntersville, NC 28078-9090 - Phone
- (704) 724-6137
- NPI assigned
- Apr 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 26824641 | NC | Primary |
Addresses
Primary practice location
902 Southland Rd
Huntersville, NC 28078-9090
Mailing address
902 Southland Rd
Huntersville, NC 28078-9090
Phone (704) 724-6137
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26824641 | NC | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1144546367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 SOUTHLAND RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789090",
"telephone_number": "704-724-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 SOUTHLAND RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280789090",
"telephone_number": "704-724-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSEL",
"first_name": "JILLENE",
"middle_name": "SUE",
"credential": "CLD,CPD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-13",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NC",
"license": "26824641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.