Rebecca Dundore, CLD

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

23219 Brazos Ave
Iola, TX 77861-5431

Phone

(936) 394-2392

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1053661405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23219 BRAZOS AVE",
            "city": "IOLA",
            "state": "TX",
            "postal_code": "778615431",
            "telephone_number": "936-394-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23219 BRAZOS AVE",
            "city": "IOLA",
            "state": "TX",
            "postal_code": "778615431",
            "telephone_number": "936-394-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNDORE",
        "first_name": "REBECCA",
        "credential": "CLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iola Isd
• Patricia Ann Mosier, SLP-CCC
• Shelli Clary Sheppard, LPCS

• All providers in Iola, TX
• Doula in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.