Individual provider Active NPI

Parris Tiumentsev, CD(DONA)

  • Doula
  • Round Rock, TX
National Provider Identifier
1245083724
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
15448 Issued in IL
Practice address
3451 Mayfield Ranch Blvd Unit 503
Round Rock, TX 78681-2469
Phone
(512) 668-2121
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 15448 IL Primary

Addresses

Primary practice location

3451 Mayfield Ranch Blvd Unit 503
Round Rock, TX 78681-2469

Mailing address

3451 Mayfield Ranch Blvd Unit 503
Round Rock, TX 78681-2469
Phone (512) 668-2121

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
15448ILMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1245083724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 MAYFIELD RANCH BLVD UNIT 503",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812469",
            "telephone_number": "512-668-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 MAYFIELD RANCH BLVD UNIT 503",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812469",
            "telephone_number": "512-668-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIUMENTSEV",
        "first_name": "PARRIS",
        "credential": "CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "IL",
            "license": "15448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.