Individual provider Active NPI

Rebecca Ellisor, CD CHT BHE

  • Doula
  • Rainier, WA
National Provider Identifier
1801317946
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
13207 Squawwood LN SE
Rainier, WA 98576-9638
Phone
(360) 481-0299
Fax
(360) 481-0299
NPI assigned
Jun 29, 2017
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

13207 Squawwood LN SE
Rainier, WA 98576-9638

Mailing address

PO Box 892
Rainier, WA 98576-0892
Phone (360) 481-0299

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1801317946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 892",
            "city": "RAINIER",
            "state": "WA",
            "postal_code": "985760892",
            "telephone_number": "360-481-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 SQUAWWOOD LN SE",
            "city": "RAINIER",
            "state": "WA",
            "postal_code": "985769638",
            "telephone_number": "360-481-0299",
            "fax_number": "360-481-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISOR",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "CD CHT BHE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainier, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.