Active NPI
Joelisha Ray'Von Fairbanks, DOULA
- Doula
- Midwest City, OK
National Provider Identifier
1114520665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 7901 NE 10TH St Ste B101
Midwest City, OK 73110-3653 - Phone
- (405) 795-3733
- NPI assigned
- Nov 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 | OK | Primary |
Addresses
Primary practice location
7901 NE 10TH St Ste B101
Midwest City, OK 73110-3653
Mailing address
1809 S Grand Blvd
Oklahoma City, OK 73108-4232
Phone (918) 873-0250
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Intune Mother Society | Current | Accepting new patients | |
| Beehive Birth Consulting | Doula | Current | Accepting new patients |
Locations
7901 NE 10th St
Ste B101
Midwest City, OK 73110
Phone (405) 250-8910
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Surgical Family Planning Clinic/Center
- Midwest City, OK
- NPI 1881459055
Doula
-
- Non-Surgical Family Planning Clinic/Center
- Midwest City, OK
- NPI 1528672854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1114520665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 S GRAND BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731084232",
"telephone_number": "918-873-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 NE 10TH ST STE B101",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731103653",
"telephone_number": "405-795-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRBANKS",
"first_name": "JOELISHA",
"middle_name": "RAY'VON",
"name_prefix": "Mrs.",
"credential": "DOULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-18",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.