Individual provider Active NPI

Kaleigh Marie Bowden

  • Doula
  • Palmer, AK
National Provider Identifier
1376041616
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
2323 S Trunk Rd Apt 6
Palmer, AK 99645-5940
Phone
(907) 746-6645
Fax
(866) 896-1408
NPI assigned
Jan 31, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

2323 S Trunk Rd Apt 6
Palmer, AK 99645-5940

Mailing address

2323 S Trunk Rd Apt 6
Palmer, AK 99645-5940
Phone (907) 746-6645

Other practice location 1

445 W 9th Ave
Anchorage, AK 99501-3519
Phone (907) 770-6655

Other names 1

  • Kaleigh Marie Pannone 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

Practice roles

OrganizationSpecialtyStatusNew patients
The Cottage, Women & Wellness, LLC PastSince Jan 26, 2020 Accepting new patients
Heirloom Wellness & Birth LLC PastSince Mar 29, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376041616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S TRUNK RD APT 6",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996455940",
            "telephone_number": "907-746-6645",
            "fax_number": "866-896-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TRUNK RD APT 6",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996455940",
            "telephone_number": "907-746-6645",
            "fax_number": "866-896-1408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 W 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995013519",
            "country_code": "US",
            "telephone_number": "907-770-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "KALEIGH",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALEIGH",
            "last_name": "PANNONE",
            "middle_name": "MARIE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.