Stacey L Bodziony, CPD
Individual provider Active NPI Doula · Wakefield, RI
NPI 1104537141 · NPPES record last updated Dec 12, 2022
Key facts
- NPI
- 1104537141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- 201338 (RI)
- Practice address
- 118 Pond St
Wakefield, RI 02879-4035 - Phone
- (401) 263-5488
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201338 | RI | MD | Doula |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Ri Doula Postpartum and Newborn Care, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 201338 | RI | Yes |
Addresses
Primary practice location
118 Pond St
Wakefield, RI 02879-4035
Mailing address
118 Pond St
Wakefield, RI 02879-4035
Phone (401) 263-5488
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.