Active NPI
Kimberly Bergrud, CD(DONA)
- Doula
- Hoodsport, WA
National Provider Identifier
1841946290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 603578990
- Practice address
- 1341 N Potlatch Dr
Hoodsport, WA 98548 - Phone
- (253) 228-1081
- NPI assigned
- Feb 24, 2022
- Last updated
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 603578990 | WA | Primary |
Addresses
Primary practice location
1341 N Potlatch Dr
Hoodsport, WA 98548
Mailing address
1341 N Potlatch Dr
Hoodsport, WA 98548
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603578990 | WA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1841946290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 N POTLATCH DR",
"city": "HOODSPORT",
"state": "WA",
"postal_code": "98548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 N POTLATCH DR",
"city": "HOODSPORT",
"state": "WA",
"postal_code": "98548",
"telephone_number": "253-228-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGRUD",
"first_name": "KIMBERLY",
"credential": "CD(DONA)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "WA",
"license": "603578990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoodsport, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.