Active NPI
Kailen Nicole Homm
- Doula
- Reno, NV
National Provider Identifier
1437929924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 140 State St
Reno, NV 89501-1561 - Phone
- (775) 444-0244
- NPI assigned
- Jan 5, 2024
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
140 State St
Reno, NV 89501-1561
Mailing address
140 State St
Reno, NV 89501-1561
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mysticfem.com/ |
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": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1437929924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 STATE ST",
"city": "RENO",
"state": "NV",
"postal_code": "895011561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 STATE ST",
"city": "RENO",
"state": "NV",
"postal_code": "895011561",
"telephone_number": "775-444-0244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMM",
"first_name": "KAILEN",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mysticfem.com/",
"affiliation": "N",
"address_1": "140 State St",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895011561",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Reno, NV
- Hometown Health Management Company (Hometown Health Wellness Services)
- Hometown Health Management Company
- Hometown Health Management Company (Renown Health Urgent Care)
- Hometown Health Plan Inc. (Hometown Health)
- Jayce Homewood
- Taylor Jeffey Homme I
- Honey Tree Therapy LLC
- Ernest C Hong, MD
- Lona Hong, PHARM.D.
- Pauline Hong, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.