Dinora Bissenova

Individual provider Active NPI Doula · Kirkland, WA

NPI 1851149983 · NPPES record last updated May 13, 2024

Key facts

NPI
1851149983
Entity type
Individual (NPI type 1)
Primary specialty
Doula 374J00000X
Practice address
12361 76TH CT NE
Kirkland, WA 98034-2402
Phone
(360) 593-7207
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Yes

Addresses

Primary practice location

12361 76TH CT NE
Kirkland, WA 98034-2402

Mailing address

12361 76TH CT NE
Kirkland, WA 98034-2402
Phone (360) 593-7207

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2024.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1851149983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 76TH CT NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342402",
            "telephone_number": "360-593-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 76TH CT NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342402",
            "telephone_number": "360-593-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSENOVA",
        "first_name": "DINORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

All providers in Kirkland, WA · Doula in Washington

Sources for this page

Verify at the official NPI Registry.