Organization Active NPI

Maternal Instinct Doulas

  • Preferred Provider Organization
  • Detroit, MI
National Provider Identifier
1104362938
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
22616900 Issued in NY
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

Updated by the provider on Jan 18, 2017

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.