Organization Active NPI

Kealoha LLC

Doing business as KeAloha Doula

  • Doula
  • Roseville, CA
National Provider Identifier
1942066220
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
KEALOHA LLC
Doing business as
KeAloha Doula
Practice address
1079 Sunrise Ave Ste B-174
Roseville, CA 95661-7009
Phone
(916) 462-4137
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Anita SouthardNPI 1144090630
Title
Manager
Phone
(916) 500-9691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

1079 Sunrise Ave Ste B-174
Roseville, CA 95661-7009

Mailing address

1079 Sunrise Ave Ste B-174
Roseville, CA 95661-7009
Phone (916) 462-4137

Other names 1

  • KeAloha Doula Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mieko@kealohadoula.com Direct
Direct Messaging Address mieko@kealohadoula.com

National Provider Directory

National Provider Directory

Locations

1079 Sunrise Ave
Ste B174
Roseville, CA 95661
Phone (916) 462-4137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1942066220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 SUNRISE AVE STE B-174",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617009",
            "telephone_number": "916-462-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 SUNRISE AVE STE B-174",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617009",
            "telephone_number": "916-462-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEALOHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-500-9691"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mieko@kealohadoula.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "623 Vernon St Apt 312",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956782367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mieko@kealohadoula.com",
            "affiliation": "N",
            "address_1": "1079 Sunrise Ave Ste B-174",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956617009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KeAloha Doula",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KeAloha Doula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.