Active NPI
Erica Rabenda
- Doula
- Chicago, IL
National Provider Identifier
1053987883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 980 N Michigan Ave Ste 1400
Chicago, IL 60611-7500 - Phone
- (312) 282-5478
- NPI assigned
- Jun 2, 2021
- 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
980 N Michigan Ave Ste 1400
Chicago, IL 60611-7500
Mailing address
2838 W Henderson St
Chicago, IL 60618-5815
Phone (708) 822-9768
Other names 1
- Goddess Erica
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Hello@DominationCoaching.com | Health Information Exchange (HIE) |
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": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1053987883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2838 W HENDERSON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606185815",
"telephone_number": "708-822-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 N MICHIGAN AVE STE 1400",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606117500",
"telephone_number": "312-282-5478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABENDA",
"first_name": "ERICA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Hello@DominationCoaching.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "980 N Michigan Ave Ste 1400",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606117500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GODDESS",
"last_name": "ERICA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.