KRYSTLE GARD (NPI# 1609494913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609494913 |
| Entity Type | Individual |
| Full Name | KRYSTLE GARD |
| Practice Address |
15888 Sw Sundew Dr Portland OR 97223-2694 |
| Practice Telephone | 9072507569 |
| Mailing Telephone | 9072507569 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
15888 SW SUNDEW DR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97223-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659671 | Lindsay Marie Thomas | Doula | 4503 Se 66th Ave, Portland, OR 97206-4501 | 2020-11-04 |
| 1467052084 | Jenessa Garrett | Doula | 1515 Sw Montgomery St, Portland, OR 97201-2558 | 2020-11-01 |
| 1699374926 | Jessica Ford | Doula | 3652 Se Stark St Apt 9, Portland, OR 97214-3161 | 2020-10-19 |
| 1669086583 | Kathryn Mathew | Doula | 2743 Ne 16th Ave, Portland, OR 97212-3307 | 2020-09-08 |
| 1609484963 | Ladonna Marie Smith | Doula | 6224 N Astor St, Portland, OR 97203-1302 | 2020-07-22 |
| 1972121663 | Molly Mcart | Doula | 7727 Se 21st Ave, Portland, OR 97202-6229 | 2020-07-08 |
| 1396362877 | Isis Armendariz | Doula | 5143 Se 17th Ave, Portland, OR 97202-4807 | 2020-06-30 |
| 1932725892 | Elizabeth Ann Haebe | Doula | 2240 Ne Wasco St, Portland, OR 97232-1621 | 2020-06-17 |
| 1558995431 | Catherine Lorraine Minor | Doula | 4623 Se River Dr, Portland, OR 97267-6806 | 2020-02-28 |
| 1871126177 | Robin Alicea Booker | Doula | 7425 N Williams Ave, Portland, OR 97217-1557 | 2020-02-15 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.