Active NPI
Lakeisha T Elum, DOULA
- Doula
- Bridgeton, NJ
National Provider Identifier
1114261674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 11 Nichols St
Bridgeton, NJ 08302-1531 - Phone
- (856) 405-9574
- NPI assigned
- Nov 21, 2012
- 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 | NJ | Primary |
Addresses
Primary practice location
11 Nichols St
Bridgeton, NJ 08302-1531
Mailing address
11 Nichols St
Bridgeton, NJ 08302-1531
Phone (856) 405-9574
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1114261674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 NICHOLS ST",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021531",
"telephone_number": "856-405-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 NICHOLS ST",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021531",
"telephone_number": "856-405-9574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELUM",
"first_name": "LAKEISHA",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-21",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.