Active NPI
Evelyn Burnett
- Doula
- Richmond, TX
National Provider Identifier
1073156154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1119 Nogales Bend Dr
Richmond, TX 77469-6129 - Phone
- (713) 677-1500
- NPI assigned
- Oct 22, 2019
- 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
1119 Nogales Bend Dr
Richmond, TX 77469-6129
Mailing address
1119 Nogales Bend Dr
Richmond, TX 77469-6129
Phone (713) 677-1500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27629320 | Other | TX | DRIVERS LICENSE |
| 1073156154 | Medicaid | TX |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Richmond | Direct | |
| Direct Messaging Address | Connect@preciouspackage-doula.com | Direct |
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": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575158400000",
"number": "1073156154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 NOGALES BEND DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774696129",
"telephone_number": "713-677-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 NOGALES BEND DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774696129",
"telephone_number": "713-677-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "EVELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2019-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "27629320",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073156154",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Richmond",
"affiliation": "N",
"endpointDescription": "home",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1119 Nogales Bend Dr",
"city": "Richmond",
"state": "TX",
"country_code": "US",
"postal_code": "774696129",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Connect@preciouspackage-doula.com",
"affiliation": "N",
"endpointDescription": "Virtual",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Richmond",
"address_1": "1119 Nogales Bend Dr",
"city": "Richmond",
"state": "TX",
"country_code": "US",
"postal_code": "774696129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.