Active NPI
Elephant Tribe
- Doula
- Gainesville, FL
National Provider Identifier
1073104824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- ELEPHANT TRIBE
- Practice address
- 1717 NE 28TH Ave
Gainesville, FL 32609-3210 - Phone
- (470) 798-7145
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeniffer Revell, DOULA
- Title
- Ceo
- Phone
- (470) 798-7145
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1717 NE 28TH Ave
Gainesville, FL 32609-3210
Mailing address
1717 NE 28TH Ave
Gainesville, FL 32609-3210
Phone (470) 798-7145
Other names 1
- Jen The Doula
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612483200000",
"number": "1073104824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 NE 28TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326093210",
"telephone_number": "470-798-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 NE 28TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326093210",
"telephone_number": "470-798-7145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEPHANT TRIBE",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-05",
"certification_date": "2021-02-05",
"status": "A",
"authorized_official_last_name": "REVELL",
"authorized_official_first_name": "JENIFFER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "470-798-7145",
"authorized_official_credential": "DOULA"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jen The Doula",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jen The Doula",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.