Individual provider Active NPI

Audrey Earley, DOULA

  • Doula
  • Poway, CA
National Provider Identifier
1114616737
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
15644 Pomerado Rd Ste 302
Poway, CA 92064-2455
Phone
(858) 278-2930
Fax
(858) 278-2943
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

15644 Pomerado Rd Ste 302
Poway, CA 92064-2455

Mailing address

924 Encinitas Blvd Apt 56
Encinitas, CA 92024-5393

Other names 1

  • Audie Earley Professional name

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

OrganizationSpecialtyStatusNew patients
San Diego County Midwives CurrentSince May 7, 2023 Accepting new patients
A Family Affair Birth Center CurrentSince May 7, 2023 Accepting new patients

Locations

15644 Pomerado Rd
Ste 302
Poway, CA 92064
Phone (858) 278-2930

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1114616737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 ENCINITAS BLVD APT 56",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD STE 302",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642455",
            "telephone_number": "858-278-2930",
            "fax_number": "858-278-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "AUDREY",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDIE",
            "last_name": "EARLEY",
            "credential": "DOULA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.