Individual provider Active NPI

Nikki N Ellah, RCMA

  • Doula
  • Puyallup, WA
National Provider Identifier
1225420300
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
2550 S Meridian
Puyallup, WA 98373-1525
Phone
(409) 363-7438
Fax
(253) 600-3513
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X
Doula 374J00000X Primary

Addresses

Primary practice location

2550 S Meridian
Puyallup, WA 98373-1525

Mailing address

PO Box 2022
Tacoma, WA 98401-2022
Phone (971) 236-4521

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Mobile Medics, LLC Phlebotomy CurrentSince Feb 21, 2021 Accepting new patients

Locations

340 N Sam Houston Pkwy E
Houston, TX 77060
Phone (832) 528-0334

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1225420300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2022",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984012022",
            "telephone_number": "971-236-4521",
            "fax_number": "253-600-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S MERIDIAN",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983731525",
            "telephone_number": "409-363-7438",
            "fax_number": "253-600-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLAH",
        "first_name": "NIKKI",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "RCMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.