Individual provider Active NPI

Shaquetta Brown, CLD, CP, ICD

  • Doula
  • Augusta, GA
National Provider Identifier
1043022056
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
2118 Ashley Dr
Augusta, GA 30906-5083
Phone
(813) 629-2407
NPI assigned
Jan 25, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

2118 Ashley Dr
Augusta, GA 30906-5083

Mailing address

246 Robert C Daniel Jr Pkwy # 1465
Augusta, GA 30909-0803
Phone (706) 250-0249

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

NPI Registry JSON

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1043022056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ROBERT C DANIEL JR PKWY # 1465",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090803",
            "telephone_number": "706-250-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 ASHLEY DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065083",
            "telephone_number": "813-629-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHAQUETTA",
        "credential": "CLD, CP, ICD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.