Active NPI
Brandie McGowan
- Doula
- Palm Harbor, FL
National Provider Identifier
1003491630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 4002-29
- Practice address
- 455 Alt 19 S Apt 207
Palm Harbor, FL 34683-5932 - Phone
- (181) 350-6025
- NPI assigned
- Mar 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 4002-29 | CA | Primary |
Addresses
Primary practice location
455 Alt 19 S Apt 207
Palm Harbor, FL 34683-5932
Mailing address
455 Alt 19 S Apt 207
Palm Harbor, FL 34683-5932
Phone (181) 350-6025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4002-29 | Other | CA | MADRIELLA DOULA CERTIFICATION |
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 |
|---|---|---|---|
| 4002-29 | CA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1003491630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 ALT 19 S APT 207",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835932",
"telephone_number": "181-350-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 ALT 19 S APT 207",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346835932",
"telephone_number": "181-350-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "BRANDIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "CA",
"license": "4002-29",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MADRIELLA DOULA CERTIFICATION",
"identifier": "4002-29",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.