Kirsten Lil'Von Campbell-Davenport, BA PSYCHOLOGY

Primary specialty

DoulaTaxonomy code 374J00000X

License

BD61609590 Issued in WA

Practice address

1777 S Burlington Blvd Unit 271
Burlington, WA 98233-3223

Phone

(360) 503-3815

NPI assigned

Dec 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Melanated Maternity Essentials LLC.

  • Doula
  • Mount Vernon, WA
  • NPI 1659189942
  NPD
• Positive Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midwest City, OK
  • NPI 1861745390
  NPD (past)

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1831434653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E COLLEGE AVE APT 45",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730444542",
            "telephone_number": "918-206-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S BURLINGTON BLVD UNIT 271",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333223",
            "telephone_number": "360-503-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 N Martin Luther King Ave",
            "address_2": "Ste#101",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731174235",
            "country_code": "US",
            "telephone_number": "405-424-0007",
            "fax_number": "405-424-6507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL-DAVENPORT",
        "first_name": "KIRSTEN",
        "middle_name": "LIL'VON",
        "credential": "BA PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "BD61609590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burlington-Edison School District
• Barbara Jean Burnham
• John Xavier Burns
• Burry Endodontics LLC
• Julie Butler
• Patricia Campbell
• Natalie Adair Canniff, RN
• Amy Ellen Navarre Cantrell, PA-C
• Steven Caporgno, RN
• Care Center (Burlington) Inc.

• Doula in Burlington, WA
• Providers in Burlington, WA by specialty
• Doula in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.