Miriam Escudero Ramirez, BIRTH DOULA, CLC
Miriam Escudero Ramirez, BIRTH DOULA, CLC is a provider specialising in Doula in Yakima, WA, registered under NPI 1043054414. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1287 SAGE TRAIL RD, Yakima, WA 98901. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| BDC.BD.70017848 | WA | Doula |
This provider holds licence BDC.BD.70017848 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Doula covers
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. NUCC Health Care Provider Taxonomy, code 374J00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 374J00000X | Doula | — | OR | primary |
| 374J00000X | Doula | BDC.BD.70017848 | WA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1043054414 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 20, 2024 |
| Last updated | Feb 4, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | BIRTH DOULA, CLC |
| Practice address |
1287 SAGE TRAIL RD Yakima, WA 98901 (509) 424-1495 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 4 | 3 | 0 | 5 | 4 | 4 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 8 | 3 | 0 | 5 | 8 | 4 | 2 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.