Organization Active NPI

Appointed Time Doula Service

  • Doula
  • Elkhart, IN
National Provider Identifier
1063115871
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
APPOINTED TIME DOULA SERVICE
Practice address
1007 Clarinet Blvd E
Elkhart, IN 46516-4751
Phone
(574) 226-4225
NPI assigned
Mar 22, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Authorized official

Name
Mrs. Robin O WallsNPI 1083316897
Title
Manager
Phone
(574) 226-4225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X NU Primary

Addresses

Primary practice location

1007 Clarinet Blvd E
Elkhart, IN 46516-4751

Mailing address

1007 Clarinet Blvd E
Elkhart, IN 46516-4751
Phone (574) 226-4225

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1063115871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 CLARINET BLVD E",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164751",
            "telephone_number": "574-226-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 CLARINET BLVD E",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465164751",
            "telephone_number": "574-226-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPOINTED TIME DOULA SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "574-226-4225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.