Active NPI
Jeanene Durham
- Doula
- Puyallup, WA
National Provider Identifier
1912884347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 19018 106TH Avenue CT E
Puyallup, WA 98374-6487 - Phone
- (209) 990-1302
- NPI assigned
- Aug 18, 2025
- 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 | Primary |
Addresses
Primary practice location
19018 106TH Avenue CT E
Puyallup, WA 98374-6487
Mailing address
19018 106TH Avenue CT E
Puyallup, WA 98374-6487
Phone (209) 990-1302
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": "1755475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1912884347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19018 106TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983746487",
"telephone_number": "209-990-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19018 106TH AVENUE CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983746487",
"telephone_number": "209-990-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "JEANENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-18",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.