Melanated Mommy LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

MELANATED MOMMY LLC

Practice address

2813 Ridgecrest Dr
Rocky Mount, NC 27803-1355

Phone

(262) 469-5733

NPI assigned

May 18, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Millicent Hines

Title

Owner

Phone

(252) 469-5733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1154068302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 RIDGECREST DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031355",
            "telephone_number": "252-469-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 RIDGECREST DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031355",
            "telephone_number": "262-469-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANATED MOMMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-469-5733",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Doula in Rocky Mount, NC
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• Doula in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.