Provider Demographics
NPI:1013543818
Name:BLOUNT, ARRIN FALLON (DOULA)
Entity type:Individual
Prefix:
First Name:ARRIN
Middle Name:FALLON
Last Name:BLOUNT
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64127-4046
Mailing Address - Country:US
Mailing Address - Phone:816-372-3311
Mailing Address - Fax:
Practice Address - Street 1:2612 CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64127-4046
Practice Address - Country:US
Practice Address - Phone:816-372-3311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-13
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X, 174H00000X, 175F00000X, 175T00000X, 376J00000X, 171400000X
MO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoula
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty