Tidal Doula LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

TIDAL DOULA LLC

Practice address

3216 Drew Ave N
Robbinsdale, MN 55422-3250

Phone

(763) 647-0461

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Emily Lou Kossila HaupertNPI 1104688654

Title

Doula

Phone

(763) 647-0461

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Lou Kossila Haupert

  • Doula
  • Robbinsdale, MN
  • NPI 1104688654
  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1821850371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 DREW AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554223250",
            "telephone_number": "763-647-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 DREW AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554223250",
            "telephone_number": "763-647-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL DOULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "KOSSILA HAUPERT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "763-647-0461"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Thunselle, PHARM.D.
• Rachel Tien, APRN, AG-CNS
• Thomas Timmons, MD
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• Ian Michael Topping, DPT
• Total Renal Care Inc

• Doula in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Doula in Minnesota

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