Organization Active NPI

Altared Roots LLC

Doing business as Altared Roots

  • Doula
  • Seattle, WA
National Provider Identifier
1851973770
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
ALTARED ROOTS LLC
Doing business as
Altared Roots
Practice address
11002 12TH Ave SW
Seattle, WA 98146-2126
Phone
(301) 467-5612
NPI assigned
Apr 21, 2021
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Gerard Douglas Miller Jr., C-FSD, C-CBE, I-CBE,
Title
Doula
Phone
(301) 467-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X NU Primary

Addresses

Primary practice location

11002 12TH Ave SW
Seattle, WA 98146-2126

Mailing address

11002 12TH Ave SW
Seattle, WA 98146-2126
Phone (301) 467-5612

Other names 1

  • Altared Roots Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1851973770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11002 12TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981462126",
            "telephone_number": "301-467-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11002 12TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981462126",
            "telephone_number": "301-467-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTARED ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "301-467-5612",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "C-FSD, C-CBE, I-CBE,"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altared Roots",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.