Mildred King, DOULA

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

849 Jamestown Ave Unit 301
San Francisco, CA 94124-3781

Phone

(415) 676-8463

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marlee-I Mystic Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marlee-I Mystic LLC

  • Doula
  • San Francisco, CA
  • NPI 1952100943
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1235911199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 JAMESTOWN AVE UNIT 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243781",
            "telephone_number": "415-676-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 JAMESTOWN AVE UNIT 301",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243781",
            "telephone_number": "415-676-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MILDRED",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLEE-I",
            "last_name": "MYSTIC",
            "credential": "DOULA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Liam King, MD
• Lloyd Joseph King, MD
• Malia Elena King, L.AC.
• Marissa King, RN
• Michelle King, ASW
• Monique E. King, M.D.
• Pierre King
• Richard M. King, MFT
• Ruby Ann King
• Sally King, LMFT

• Doula in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Doula in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.