Active NPI
Sankofa Ra, DOULA,CLC,WSP,CHHP
- Specialist
- New Rochelle, NY
National Provider Identifier
1003202227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 60813212
- Practice address
- 290 Union Ave
Apt. 1C
New Rochelle, NY 10801-5901 - Phone
- (914) 484-6562
- NPI assigned
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 60813212 | NY | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | ALPP-208931 | NY |
Addresses
Primary practice location
290 Union Ave
Apt. 1C
New Rochelle, NY 10801-5901
Mailing address
290 Union Ave
Apt. 1C
New Rochelle, NY 10801-5901
Phone (914) 484-6562
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60813212 | NY | MD | Specialist |
| ALPP-208931 | NY | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1003202227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 UNION AVE",
"address_2": "APT. 1C",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015901",
"telephone_number": "914-484-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 UNION AVE",
"address_2": "APT. 1C",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015901",
"telephone_number": "914-484-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RA",
"first_name": "SANKOFA",
"name_prefix": "Ms.",
"credential": "DOULA,CLC,WSP,CHHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "60813212",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "NY",
"license": "ALPP-208931",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.