Individual provider Active NPI

Marilyn L Lemos

  • Doula
  • Mendocino, CA
National Provider Identifier
1093030769
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
0023 Issued in CA
Practice address
940 Ukiah St
Mendocino, CA 95460-1129
Phone
(707) 937-4202
Fax
(707) 937-6003
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
Yes

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

State licenses

LicenseStateTypeSpecialty
0023CAMDDoula

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 0023 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

940 Ukiah St
Mendocino, CA 95460-1129

Mailing address

PO Box 1129
Mendocino, CA 95460-1129
Phone (707) 937-4202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2010.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1093030769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "MENDOCINO",
            "state": "CA",
            "postal_code": "954601129",
            "telephone_number": "707-937-4202",
            "fax_number": "707-937-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 UKIAH ST",
            "city": "MENDOCINO",
            "state": "CA",
            "postal_code": "954601129",
            "telephone_number": "707-937-4202",
            "fax_number": "707-937-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOS",
        "first_name": "MARILYN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": "0023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendocino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.