Individual provider Active NPI

Susanne M Isakson

  • Doula
  • Shoreline, WA
National Provider Identifier
1851690150
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
602226989 Issued in WA
Practice address
17338 2ND Ave NW
Shoreline, WA 98177-3632
Phone
(206) 427-1389
NPI assigned
Mar 25, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 602226989 WA Primary

Addresses

Primary practice location

17338 2ND Ave NW
Shoreline, WA 98177-3632

Mailing address

17338 2ND Ave NW
Shoreline, WA 98177-3632
Phone (206) 427-1389

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

LicenseStateTypeSpecialty
602226989WAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1851690150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17338 2ND AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773632",
            "telephone_number": "206-427-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17338 2ND AVE NW",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773632",
            "telephone_number": "206-427-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAKSON",
        "first_name": "SUSANNE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "602226989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.