Active NPI
Alexandria L Idziak
- Doula
- Royal Oak, MI
National Provider Identifier
1821703059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 3905 Crooks Rd Apt 35
Royal Oak, MI 48073-4508 - Phone
- (419) 654-1067
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | MI | Primary |
Addresses
Primary practice location
3905 Crooks Rd Apt 35
Royal Oak, MI 48073-4508
Mailing address
3905 Crooks Rd Apt 35
Royal Oak, MI 48073-4508
Phone (419) 654-1067
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": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1821703059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 CROOKS RD APT 35",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480734508",
"telephone_number": "419-654-1067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 CROOKS RD APT 35",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480734508",
"telephone_number": "419-654-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDZIAK",
"first_name": "ALEXANDRIA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.