Individual provider Active NPI

Deaddra Deion Gissendanner

  • Doula
  • Palmetto, FL
National Provider Identifier
1568129062
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
7012 50TH Ave E
Palmetto, FL 34221-7358
Phone
(404) 974-8915
NPI assigned
Nov 19, 2021
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X FL Primary

Addresses

Primary practice location

7012 50TH Ave E
Palmetto, FL 34221-7358

Mailing address

7012 50TH Ave E
Palmetto, FL 34221-7358
Phone (404) 974-8915

Other names 1

  • Deaddra Gissendanner Professional name

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1568129062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 50TH AVE E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342217358",
            "telephone_number": "404-974-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 50TH AVE E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342217358",
            "telephone_number": "404-974-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISSENDANNER",
        "first_name": "DEADDRA",
        "middle_name": "DEION",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEADDRA",
            "last_name": "GISSENDANNER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.