Active NPI
Kathryn York, CLC, C-FSD BADT
- Doula
- Ypsilanti, MI
National Provider Identifier
1487220034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 103 N Park St
Ypsilanti, MI 48198-2923 - Phone
- (734) 558-8738
- NPI assigned
- Jun 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 323010 | ||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
103 N Park St
Ypsilanti, MI 48198-2923
Mailing address
103 N Park St
Ypsilanti, MI 48198-2923
Phone (734) 558-8738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323010 | Other | ALPP ID NUMBER |
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": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1487220034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N PARK ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481982923",
"telephone_number": "734-558-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N PARK ST",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481982923",
"telephone_number": "734-558-8738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "KATHRYN",
"credential": "CLC, C-FSD BADT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "323010",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALPP ID NUMBER",
"identifier": "323010",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.