Individual provider Active NPI

Ludmila Blindauer

  • Doula
  • Everett, WA
National Provider Identifier
1275204109
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
13846 Issued in WA
Practice address
4811 152ND St SE
Everett, WA 98208-8823
Phone
(206) 930-3917
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 13846 WA Primary

Addresses

Primary practice location

4811 152ND St SE
Everett, WA 98208-8823

Mailing address

4811 152ND St SE
Everett, WA 98208-8823
Phone (206) 930-3917

Other identifiers 1

IdentifierTypeStateIssuer
99499MedicaidWA

Other names 1

  • Milla Blindauer Professional name

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
13846WAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1275204109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 152ND ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088823",
            "telephone_number": "206-930-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 152ND ST SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982088823",
            "telephone_number": "206-930-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLINDAUER",
        "first_name": "LUDMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "13846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99499",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILLA",
            "last_name": "BLINDAUER",
            "credential": "CD(DONA)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.