Raquella Emily Pettit
Individual provider Active NPI Doula · Gasquet, CA
NPI 1205701802 · NPPES record last updated Oct 31, 2025
Key facts
- NPI
- 1205701802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 1795 French Hill Rd.
Gasquet, CA 95543 - Phone
- (650) 483-6919
- NPI assigned
- Oct 6, 2025
- 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 | CA | Yes |
Addresses
Primary practice location
1795 French Hill Rd.
Gasquet, CA 95543
Mailing address
900 Northcrest Dr # 83
Crescent City, CA 95531-2315
Phone (650) 483-6919
Other providers in Gasquet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2025. 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.