Active NPI
Maternal Instinct Doulas
- Preferred Provider Organization
- Detroit, MI
National Provider Identifier
1104362938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 22616900
- Legal business name
- MATERNAL INSTINCT DOULAS
- Practice address
- 4899 Underwood St
Detroit, MI 48204-2126 - Phone
- (602) 430-2589
- NPI assigned
- Jan 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy Ann Baskerville, RN
- Title
- Director
- Phone
- (602) 430-2589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 22616900 | NY | Primary |
Addresses
Primary practice location
4899 Underwood St
Detroit, MI 48204-2126
Mailing address
5720 Metroview Pkwy
278
Alexandria, VA 22303-1514
Phone (602) 430-2589
Other names 1
- Maternal Child Specialist
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484697600000",
"number": "1104362938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 METROVIEW PKWY",
"address_2": "278",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223031514",
"telephone_number": "602-430-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4899 UNDERWOOD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482042126",
"telephone_number": "602-430-2589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATERNAL INSTINCT DOULAS",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A",
"authorized_official_last_name": "BASKERVILLE",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "602-430-2589",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "NY",
"license": "22616900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maternal Child Specialist",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.