Tasha Nicole Davis, DOULA

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

916 W Coliseum Blvd Ste G
Fort Wayne, IN 46808-1291

Phone

(571) 298-7618

NPI assigned

Apr 12, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ymoa Inc

  • Voluntary or Charitable Agency
  • Fort Wayne, IN
  • NPI 1871347385
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1013761527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 EBYWOOD LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359742",
            "telephone_number": "571-298-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W COLISEUM BLVD STE G",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468081291",
            "telephone_number": "571-298-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TASHA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monchelle Denise Davis
• Noreen L Davis, HIS
• Ruth G. Davis, LCSW
• Scott Davis, M.D.
• Sherwin O Davis, PHARMD
• Taylor Brooke Davis, OTD, OTR/L
• Ziayrah Solei Davis
• Zion Davis
• Janardhanan V Davy, M.D.
• Kyle Dawalt

• Doula in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Doula in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.