Lyndsey Tyler Petrino

Primary specialty

DoulaTaxonomy code 374J00000X

License

BD61661167 Issued in WA

Practice address

12809 NE 6TH Ave
Vancouver, WA 98685-3052

Phone

(458) 212-0199

NPI assigned

Apr 12, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1831984566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 NE SKIDMORE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182170",
            "telephone_number": "458-212-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12809 NE 6TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986853052",
            "telephone_number": "458-212-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRINO",
        "first_name": "LYNDSEY",
        "middle_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-12",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": "WA",
            "license": "BD61661167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Lvovna Peterson, MD
• Tina Lynn Louie Peterson, CRNA
• Tod C Peterson
• Anna Michelle Petrey
• Heather Ann Petrik, RN
• Angelika M Petrova
• Anna M Petruolo, LMP
• Danielle Mariah Pettet, DC
• Michael Pettet, DC
• Tyler Jonathon Pettett, LMHCA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.