Active NPI
Marilyn L Lemos
- Doula
- Mendocino, CA
National Provider Identifier
1093030769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 0023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0023 | CA | MD | Doula |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 0023 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary 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.