Organization Active NPI

Ivy Joeva

  • Nutritionist
  • Santa Monica, CA
National Provider Identifier
1831549724
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
IVY JOEVA
Practice address
1518 19TH St Apt C
Santa Monica, CA 90404-3437
Phone
(310) 634-8192
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Ivy Joeva
Title
Birth Doula
Phone
(310) 634-8192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

1518 19TH St Apt C
Santa Monica, CA 90404-3437

Mailing address

1518 19TH St Apt C
Santa Monica, CA 90404-3437
Phone (310) 634-8192

Other names 1

  • Ivy Gullickson Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1831549724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 19TH ST APT C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043437",
            "telephone_number": "310-634-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 19TH ST APT C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043437",
            "telephone_number": "310-634-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY JOEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "JOEVA",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "BIRTH DOULA",
        "authorized_official_telephone_number": "310-634-8192"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Gullickson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.