Individual provider Active NPI

Kendall Beeler, CD

  • Doula
  • Clarksville, TN
National Provider Identifier
1386397693
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
213012
Practice address
322 Cranklen Cir
Clarksville, TN 37042-4682
Phone
(615) 289-1983
NPI assigned
Jan 27, 2022
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Doula 374J00000X 213012 Primary

Addresses

Primary practice location

322 Cranklen Cir
Clarksville, TN 37042-4682

Mailing address

322 Cranklen Cir
Clarksville, TN 37042-4682
Phone (615) 289-1983

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1386397693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 CRANKLEN CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424682",
            "telephone_number": "615-289-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 CRANKLEN CIR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424682",
            "telephone_number": "615-289-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEELER",
        "first_name": "KENDALL",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": "213012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.