Individual provider Active NPI

Sofia Jernstedt Webster, BIRTH DOULA

  • Doula
  • McMinnville, OR
National Provider Identifier
1245991322
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
THW000105962 Issued in OR
Practice address
1827 SE Nehemiah LN
McMinnville, OR 97128-9051
Phone
(503) 536-3726
NPI assigned
Dec 31, 2021
Last updated
Dec 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X THW000105962 OR Primary

Addresses

Primary practice location

1827 SE Nehemiah LN
McMinnville, OR 97128-9051

Mailing address

1827 SE Nehemiah LN
McMinnville, OR 97128-9051
Phone (503) 536-3726

Other identifiers 1

IdentifierTypeStateIssuer
THW000105962MedicaidOR

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

LicenseStateTypeSpecialty
THW000105962ORMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1245991322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 SE NEHEMIAH LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289051",
            "telephone_number": "503-536-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 SE NEHEMIAH LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289051",
            "telephone_number": "503-536-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "SOFIA",
        "middle_name": "JERNSTEDT",
        "credential": "BIRTH DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "THW000105962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THW000105962",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.