Ashley Baney

Key facts

NPI

1124364567

Entity type

Individual (NPI type 1)

Primary specialty

Doula 374J00000X

License

45338800302201 (IN)

Practice address

2033 Bayer Ave
Fort Wayne, IN 46805-3414

Phone

(616) 821-8472

NPI assigned

Dec 12, 2012

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 12, 2012.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1124364567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 BAYER AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053414",
            "telephone_number": "616-821-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 BAYER AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053414",
            "telephone_number": "616-821-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEY",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "IN",
            "license": "45338800302201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tabitha J Bane
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• Gregory M. Banicki, M.S. ED.
• Maegan Banicki
• Jakyria Monae-Tyree Banks

All providers in Fort Wayne, IN · Doula in Indiana