IndividualActive
Tina Black
NPI 1083982045 · Doula · Kelso, WA
Provider details
- NPI number
- 1083982045
- Entity type
- Individual
- Primary specialty
- DoulaNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
210 Sparks Dr
Kelso, WA 98626-1818
Phone: (360) 431-8275
Street-level locationGet directions
Mailing address
Po Box 796
Kelso, WA 98626-0069
Registry dates
- Enumerated
- 2011-12-06
- Last updated
- 2011-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.