Individual provider Active NPI

Kimberly Lynn Hagin

  • Doula
  • Escondido, CA
National Provider Identifier
1164310991
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
10360 Cerveza Dr
Escondido, CA 92026-6213
Phone
(714) 353-9402
NPI assigned
Jun 27, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

10360 Cerveza Dr
Escondido, CA 92026-6213

Mailing address

10360 Cerveza Dr
Escondido, CA 92026-6213
Phone (714) 353-9402

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

NPI Registry JSON

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1164310991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 CERVEZA DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920266213",
            "telephone_number": "714-353-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10360 CERVEZA DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920266213",
            "telephone_number": "714-353-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGIN",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.