Individual provider Active NPI

Monica Rae Croonquist, CD

  • Doula
  • Tukwila, WA
National Provider Identifier
1447019203
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
4840 S 152ND St
Tukwila, WA 98188-2346
Phone
(206) 276-6544
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

4840 S 152ND St
Tukwila, WA 98188-2346

Mailing address

4840 S 152ND St
Tukwila, WA 98188-2346
Phone (206) 276-6544

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1447019203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 S 152ND ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882346",
            "telephone_number": "206-276-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 S 152ND ST",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882346",
            "telephone_number": "206-276-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROONQUIST",
        "first_name": "MONICA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.

Verify at the official NPI Registry.