Active NPI
Blvk2Roots Holistic LLC
- Doula
- Oakland, CA
National Provider Identifier
1700642329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- BLVK2ROOTS HOLISTIC LLC
- Practice address
- 937 International Blvd
Oakland, CA 94606-3727 - Phone
- (628) 333-0585
- NPI assigned
- Feb 21, 2024
- Last updated
- Feb 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damon Kinard, DOULA,MSCNM,CHHC,CWC
- Title
- Owner
- Phone
- (628) 333-0585
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | NU | Primary | |
| Health & Wellness Coach | 171400000X | NU |
Addresses
Primary practice location
937 International Blvd
Oakland, CA 94606-3727
Mailing address
937 International Blvd
Oakland, CA 94606-3727
Phone (628) 333-0585
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1700642329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946063727",
"telephone_number": "628-333-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946063727",
"telephone_number": "628-333-0585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLVK2ROOTS HOLISTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A",
"authorized_official_last_name": "KINARD",
"authorized_official_first_name": "DAMON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "628-333-0585",
"authorized_official_credential": "DOULA,MSCNM,CHHC,CWC"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.