Organization Active NPI

Sacred Divine Femininity, LLC.

  • Doula
  • Erie, PA
National Provider Identifier
1174258412
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on Jul 20, 2022

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)NPI 1255076923
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)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL www.sacreddivinefemininity.com Direct

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.