Active NPI
Tara R. C. Lussier, CD, RYT, CHHC
- Doula
- Leesburg, VA
National Provider Identifier
1508168931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 503 Morrisett CT SE
Leesburg, VA 20175-6140 - Phone
- (703) 472-4704
- NPI assigned
- Nov 17, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | VA | Primary |
Addresses
Primary practice location
503 Morrisett CT SE
Leesburg, VA 20175-6140
Mailing address
503 Morrisett CT SE
Leesburg, VA 20175-6140
Phone (703) 472-4704
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": "1289952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1508168931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 MORRISETT CT SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201756140",
"telephone_number": "703-472-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MORRISETT CT SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201756140",
"telephone_number": "703-472-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSSIER",
"first_name": "TARA",
"middle_name": "R. C.",
"credential": "CD, RYT, CHHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-17",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.