Active NPI
Kim Nicole Reeves
- Doula
- Lawrenceville, GA
National Provider Identifier
1295519593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 83680
- Practice address
- 1748 Christiana Dr
Lawrenceville, GA 30043-6268 - Phone
- (770) 910-0014
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 83680 | GA | Primary |
Addresses
Primary practice location
1748 Christiana Dr
Lawrenceville, GA 30043-6268
Mailing address
1748 Christiana Dr
Lawrenceville, GA 30043-6268
Phone (770) 910-0014
Other names 1
- Ms. Kim Nicole Crownover
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
| License | State | Type | Specialty |
|---|---|---|---|
| 83680 | GA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1295519593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 CHRISTIANA DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436268",
"telephone_number": "770-910-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 CHRISTIANA DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436268",
"telephone_number": "770-910-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "KIM",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "GA",
"license": "83680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "CROWNOVER",
"middle_name": "NICOLE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.