Individual provider Active NPI

Vanessa Rheanal Bussell

  • Doula
  • Tacoma, WA
National Provider Identifier
1972159432
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
604430561 Issued in WA
Practice address
14207 C St S Apt B51
Tacoma, WA 98444-4598
Phone
(253) 217-7035
NPI assigned
Aug 12, 2019
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 604430561 WA Primary

Addresses

Primary practice location

14207 C St S Apt B51
Tacoma, WA 98444-4598

Mailing address

14207 C St S Apt B51
Tacoma, WA 98444-4598
Phone (253) 217-7035

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL vanessasbutterflybirth.com

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
604430561WAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1972159432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14207 C ST S APT B51",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444598",
            "telephone_number": "253-217-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14207 C ST S APT B51",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444598",
            "telephone_number": "253-217-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSELL",
        "first_name": "VANESSA",
        "middle_name": "RHEANAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "WA",
            "license": "604430561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vanessasbutterflybirth.com",
            "affiliation": "N",
            "address_1": "14207 C St S Apt B51",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984444598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.