Active NPI
Isis N Graham
- Doula
- Riverview, FL
National Provider Identifier
1164032454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 11427 Ivy Flower Loop
Riverview, FL 33578-9473 - Phone
- (813) 505-4928
- NPI assigned
- Aug 3, 2020
- 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 | FL | Primary |
Addresses
Primary practice location
11427 Ivy Flower Loop
Riverview, FL 33578-9473
Mailing address
11427 Ivy Flower Loop
Riverview, FL 33578-9473
Phone (813) 505-4928
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | thevillagebirth.work |
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": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1164032454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11427 IVY FLOWER LOOP",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335789473",
"telephone_number": "813-505-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11427 IVY FLOWER LOOP",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335789473",
"telephone_number": "813-505-4928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ISIS",
"middle_name": "N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "thevillagebirth.work",
"affiliation": "N",
"address_1": "11427 Ivy Flower Loop",
"city": "Riverview",
"state": "FL",
"country_code": "US",
"postal_code": "335789473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.