Active NPI
Thalia Daliz Ruiz
- Doula
- Chesterfield, MO
National Provider Identifier
1073394367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 18336 Edison Ave # 1040
Chesterfield, MO 63005-3618 - Phone
- (636) 557-2825
- NPI assigned
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MO | ||
| Doula | 374J00000X | MO | Primary | |
| Lactation Consultant (Non-RN) | 174N00000X | MO |
Addresses
Primary practice location
18336 Edison Ave # 1040
Chesterfield, MO 63005-3618
Mailing address
18336 Edison Ave # 1040
Chesterfield, MO 63005-3618
Phone (573) 277-8242
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": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1073394367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18336 EDISON AVE # 1040",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630053618",
"telephone_number": "573-277-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18336 EDISON AVE # 1040",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630053618",
"telephone_number": "636-557-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "THALIA",
"middle_name": "DALIZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MO",
"license": null,
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "MO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.