Individual provider Active NPI

Kim Racette, CD

  • Doula
  • Albuquerque, NM
National Provider Identifier
1306124201
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
5304 Palo Duro Ave NE
Albuquerque, NM 87110-1277
Phone
(505) 228-6163
Fax
(505) 884-8037
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X NM Primary

Addresses

NPPES NPI Registry

Primary practice location

5304 Palo Duro Ave NE
Albuquerque, NM 87110-1277

Mailing address

5304 Palo Duro Ave NE
Albuquerque, NM 87110-1277
Phone (505) 228-6163

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2011.

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1306124201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 PALO DURO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101277",
            "telephone_number": "505-228-6163",
            "fax_number": "505-884-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 PALO DURO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101277",
            "telephone_number": "505-228-6163",
            "fax_number": "505-884-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACETTE",
        "first_name": "KIM",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.