Individual provider Active NPI

Gwendolynn A Kiehne, PCD, CLE

  • Doula
  • Seattle, WA
National Provider Identifier
1710355169
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
603 258 455 Issued in WA
Practice address
828 26TH Ave
Seattle, WA 98122-4914
Phone
(206) 271-1795
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 603 258 455 WA Primary

Addresses

Primary practice location

828 26TH Ave
Seattle, WA 98122-4914

Mailing address

828 26TH Ave
Seattle, WA 98122-4914
Phone (206) 271-1795

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

LicenseStateTypeSpecialty
603 258 455WAMDDoula

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1710355169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 26TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224914",
            "telephone_number": "206-271-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 26TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224914",
            "telephone_number": "206-271-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEHNE",
        "first_name": "GWENDOLYNN",
        "middle_name": "A",
        "credential": "PCD, CLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "603 258 455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.