Individual provider Active NPI

Sabina F Jean Blanc, DOULA

  • Doula
  • Medford, MA
National Provider Identifier
1053264473
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
S79216768 Issued in MA
Practice address
117 Bow St
Medford, MA 02155-6541
Phone
(617) 291-9102
NPI assigned
Feb 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X S79216768 MA Primary

Addresses

Primary practice location

117 Bow St
Medford, MA 02155-6541

Mailing address

117 Bow St
Medford, MA 02155-6541
Phone (617) 291-9102

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

LicenseStateTypeSpecialty
S79216768MAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1053264473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BOW ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556541",
            "telephone_number": "617-291-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BOW ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556541",
            "telephone_number": "617-291-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN BLANC",
        "first_name": "SABINA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MA",
            "license": "S79216768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.