Individual provider Active NPI

Ellen Tappon, BIRTH DOULA

  • Doula
  • Corvallis, OR
National Provider Identifier
1275187809
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
1454 NW 17TH St
Corvallis, OR 97330-2619
Phone
(541) 250-0778
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

1454 NW 17TH St
Corvallis, OR 97330-2619

Mailing address

1454 NW 17TH St
Corvallis, OR 97330-2619
Phone (541) 250-0778

Other identifiers 1

IdentifierTypeStateIssuer
THW00000367MedicaidOR

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1275187809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 NW 17TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302619",
            "telephone_number": "541-250-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 NW 17TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302619",
            "telephone_number": "541-250-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPPON",
        "first_name": "ELLEN",
        "credential": "BIRTH DOULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THW00000367",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.