Active NPI
Laswann Bullard
- Doula
- Avondale, AZ
National Provider Identifier
1881254472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 3800 N El Mirage Dr Apt 6015
Avondale, AZ 85392-4081 - Phone
- (708) 307-6994
- NPI assigned
- Jun 17, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary | ||
| Phlebotomy Technician | 246RP1900X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
3800 N El Mirage Dr Apt 6015
Avondale, AZ 85392-4081
Mailing address
PO Box 791
Hillside, IL 60162-0791
Phone (708) 307-6994
Other practice location 1
2042 Prentiss Dr Apt 312
Downers Grove, IL 60516-2356
Phone (708) 307-6994
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763769600000",
"number": "1881254472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791",
"city": "HILLSIDE",
"state": "IL",
"postal_code": "601620791",
"telephone_number": "708-307-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 N EL MIRAGE DR APT 6015",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924081",
"telephone_number": "708-307-6994"
}
],
"practiceLocations": [
{
"address_1": "2042 Prentiss Dr Apt 312",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605162356",
"country_code": "US",
"telephone_number": "708-307-6994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULLARD",
"first_name": "LASWANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2025-11-22",
"certification_date": "2025-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.