Active NPI
Chrystal R Mincey
- Doula
- Fort Washington, MD
National Provider Identifier
1053024166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 8744 Grasmere CT
Fort Washington, MD 20744-7152 - Phone
- (252) 258-0789
- NPI assigned
- Jan 4, 2023
- 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 | Primary |
Addresses
Primary practice location
8744 Grasmere CT
Fort Washington, MD 20744-7152
Mailing address
8744 Grasmere CT
Fort Washington, MD 20744-7152
Phone (252) 258-0789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85-2771895 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@soulwellnessanddownwardom.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flourish Collective Inc | Doula | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Doula
- Newport, RI
- NPI 1982359527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1053024166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8744 GRASMERE CT",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207447152",
"telephone_number": "252-258-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8744 GRASMERE CT",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207447152",
"telephone_number": "252-258-0789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINCEY",
"first_name": "CHRYSTAL",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "85-2771895",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@soulwellnessanddownwardom.com",
"affiliation": "N",
"endpointDescription": "secured emai;",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8744 Grasmere Ct",
"city": "Fort Washington",
"state": "MD",
"country_code": "US",
"postal_code": "207447152",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.