Individual provider Active NPI

Heidi Lynn Donahue

  • Doula
  • Salem, OR
National Provider Identifier
1104408202
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
104888 Issued in OR
Practice address
1655 Capitol St NE
Salem, OR 97301-7845
Phone
(503) 798-3643
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 104888 OR Primary

Addresses

Primary practice location

1655 Capitol St NE
Salem, OR 97301-7845

Mailing address

4050 Furlong Ave SE
Albany, OR 97322-4910
Phone (503) 798-3643

Other identifiers 1

IdentifierTypeStateIssuer
104888MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://heididonahue.intakeq.com

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
104888ORMDDoula

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1104408202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 FURLONG AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224910",
            "telephone_number": "503-798-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017845",
            "telephone_number": "503-798-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "104888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104888",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://heididonahue.intakeq.com",
            "affiliation": "N",
            "address_1": "1655 Capitol St NE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973017845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.