Active NPI
Tamara M Praus, CMP
- Doula
- Stockton, CA
National Provider Identifier
1215207709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 633 Lincoln Ctr
Stockton, CA 95207-2642 - Phone
- (209) 298-8756
- NPI assigned
- Dec 30, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 26328 | CA | |
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
633 Lincoln Ctr
Stockton, CA 95207-2642
Mailing address
633 Lincoln Ctr
Stockton, CA 95207-2642
Phone (209) 298-8756
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26328 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325203200000",
"number": "1215207709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 LINCOLN CTR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952072642",
"telephone_number": "209-298-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 LINCOLN CTR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952072642",
"telephone_number": "209-298-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAUS",
"first_name": "TAMARA",
"middle_name": "M",
"credential": "CMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-30",
"last_updated": "2011-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "26328",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.