Individual provider Active NPI

Maria Nichole Gertsch, CD (PALS)

  • Doula
  • Kirkland, WA
National Provider Identifier
1821683988
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
14094 Issued in WA
Practice address
9110 NE 139TH St
Kirkland, WA 98034-1825
Phone
(425) 830-8338
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X 14094 WA Primary

Addresses

Primary practice location

9110 NE 139TH St
Kirkland, WA 98034-1825

Mailing address

9110 NE 139TH St
Kirkland, WA 98034-1825
Phone (425) 830-8338

Other names 1

  • Mrs. Mia Nichole Gertsch 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

State licenses

LicenseStateTypeSpecialty
14094WAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1821683988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 NE 139TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341825",
            "telephone_number": "425-830-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 NE 139TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341825",
            "telephone_number": "425-830-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERTSCH",
        "first_name": "MARIA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "CD (PALS)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": "WA",
            "license": "14094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIA",
            "last_name": "GERTSCH",
            "middle_name": "NICHOLE",
            "prefix": "MRS.",
            "credential": "CD (PALS)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.