Annetta Lynnae Childs, MASSAGE THERAPIST

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

224 Fair St
Kingston, NY 12401-4561

Phone

(845) 443-1280

NPI assigned

Jul 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1063084952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 RAYNA ST",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "124435222",
            "telephone_number": "845-443-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 FAIR ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014561",
            "telephone_number": "845-443-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "ANNETTA",
        "middle_name": "LYNNAE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "018655-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Joy Cheng, MPT
• Anna Margaret Chetnik, PT, DPT, DIP. MDT
• Alice 518-262-3095 Cheung, MD
• Annmarie Chiappinelli, COTA
• Rocco Alfredo Chiappini, MD
• Sa'Dairea Carina Childs
• Candace Chelsea Chin, PHARMD
• Megan Louise Chipkin, N.P.
• Aaron Choy, DO
• Joseph Christiana, MD

• Doula in Kingston, NY
• Providers in Kingston, NY by specialty
• Doula in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.