Active NPI
Payton Leigh Mastaw
- Doula
- Kincheloe, MI
National Provider Identifier
1184462772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 14 Clubhouse Dr
Kincheloe, MI 49788-1412 - Phone
- (906) 440-7781
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 18, 2024
- 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 | Primary |
Addresses
Primary practice location
14 Clubhouse Dr
Kincheloe, MI 49788-1412
Mailing address
14 Clubhouse Dr
Kincheloe, MI 49788-1412
Phone (906) 440-7781
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": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1184462772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CLUBHOUSE DR",
"city": "KINCHELOE",
"state": "MI",
"postal_code": "497881412",
"telephone_number": "906-440-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CLUBHOUSE DR",
"city": "KINCHELOE",
"state": "MI",
"postal_code": "497881412",
"telephone_number": "906-440-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTAW",
"first_name": "PAYTON",
"middle_name": "LEIGH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kincheloe, MI
- William R Gillette IV, D.D.S.
- Jeneanne A Harris, LMT
- Eric John Hayhurst, D.D.S.
- Kinross Charter Township (Kinross EMS)
- Jamie Lester, FNP
- Kacey McFarland
- Mymichigan Medical Center Sault
- Mymichigan Medical Center Sault (War Memorial Behavorial Center)
- Mymichigan Medical Center Sault
- Northern EMS Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.