Active NPI
Jennifer Moon
- Doula
- Bellevue, WA
National Provider Identifier
1528590791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- BD61677032
- Practice address
- 14205 SE 36TH St Ste 100-288
Bellevue, WA 98006-1596 - Phone
- (646) 479-4725
- NPI assigned
- Mar 28, 2017
- Last updated
- May 8, 2026
- 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 | BD61677032 | WA | Primary |
Addresses
Primary practice location
14205 SE 36TH St Ste 100-288
Bellevue, WA 98006-1596
Mailing address
14205 SE 36TH St Ste 100
Bellevue, WA 98006-1553
Phone (646) 479-4725
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BD61677032 | WA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1528590791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14205 SE 36TH ST STE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061553",
"telephone_number": "646-479-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14205 SE 36TH ST STE 100-288",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061596",
"telephone_number": "646-479-4725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "WA",
"license": "BD61677032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.