Active NPI
Sacred Divine Femininity, LLC.
- Doula
- Erie, PA
National Provider Identifier
1174258412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- SACRED DIVINE FEMININITY, LLC.
- Practice address
- 4906 Richmond St Ste 6
Erie, PA 16509-1978 - Phone
- (814) 299-9550
- NPI assigned
- Jul 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shawnta' Pulliam-Brown, BCNWP,CNHP,CD(DONA)
- Title
- Owner
- Phone
- (814) 460-3205
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
4906 Richmond St Ste 6
Erie, PA 16509-1978
Mailing address
3612 Brandes St
Erie, PA 16504-3002
Phone (814) 460-3205
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.sacreddivinefemininity.com | Direct |
National Provider Directory
National Provider DirectoryLocations
4906 Richmond St
Ste 6
Erie, PA 16509
Phone (814) 299-9550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658275200000",
"number": "1174258412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3612 BRANDES ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165043002",
"telephone_number": "814-460-3205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4906 RICHMOND ST STE 6",
"city": "ERIE",
"state": "PA",
"postal_code": "165091978",
"telephone_number": "814-299-9550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRED DIVINE FEMININITY, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A",
"authorized_official_last_name": "PULLIAM-BROWN",
"authorized_official_first_name": "SHAWNTA'",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-460-3205",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BCNWP,CNHP,CD(DONA)"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.sacreddivinefemininity.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4906 Richmond St Ste 6",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165091978",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
- Ravinder S Sabherwal, O.D.
- Kaitlyn Ann Sabo, PA-C
- Kevin Sabotchick
- Randi Montagna Sacco, PA-C
- Harold Anthony Sack, PHARM D
- Stephanie Sadler
- Safe Harbor Behavioral Health
- Safe Harbor Behavioral Health of Upmc Hamot
- Safe Harbor Behavioral Health of Upmc Hamot
- Safe Harbor Behavioral Health of Upmc Hamot
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.