Individual provider Active NPI

Cheyenne Rosander

  • Doula
  • North Bonneville, WA
National Provider Identifier
1376188904
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
1113 Wacomac St
North Bonneville, WA 98639-4650
Phone
(509) 281-0558
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 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

1113 Wacomac St
North Bonneville, WA 98639-4650

Mailing address

PO Box 218
North Bonneville, WA 98639-0218
Phone (509) 281-0558

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL earthsidebirthandppcare@gmail.com Direct

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1376188904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "NORTH BONNEVILLE",
            "state": "WA",
            "postal_code": "986390218",
            "telephone_number": "509-281-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 WACOMAC ST",
            "city": "NORTH BONNEVILLE",
            "state": "WA",
            "postal_code": "986394650",
            "telephone_number": "509-281-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSANDER",
        "first_name": "CHEYENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "earthsidebirthandppcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Private work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Only person that has access to this email address.",
            "address_1": "1113 Wacomac St",
            "city": "North Bonneville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986394650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Bonneville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.