Active NPI
Camilla Faye Lewis
- Doula
- Amelia Court House, VA
National Provider Identifier
1093498149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 3961
- Practice address
- 12001 Mattoax LN
Amelia Court House, VA 23002-4105 - Phone
- (931) 216-5698
- NPI assigned
- Aug 7, 2023
- 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 | 3961 | VA | Primary |
Addresses
Primary practice location
12001 Mattoax LN
Amelia Court House, VA 23002-4105
Mailing address
12001 Mattoax LN
Amelia Court House, VA 23002-4105
Phone (931) 216-5698
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 |
|---|---|---|---|
| 3961 | VA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1093498149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12001 MATTOAX LN",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230024105",
"telephone_number": "931-216-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 MATTOAX LN",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230024105",
"telephone_number": "931-216-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CAMILLA",
"middle_name": "FAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "VA",
"license": "3961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amelia Court House, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.