NPIMap

Organization Active NPI

Inner Cosmos Perinatal Services LLC

  • Doula
  • Pawtucket, RI
National Provider Identifier
1255019618
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
INNER COSMOS PERINATAL SERVICES LLC
Practice address
69 Fountain St
Pawtucket, RI 02860-1242
Phone
(401) 584-0167
NPI assigned
Jul 6, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Chanelle Renee PegueroNPI 1295413649
Title
Employee
Phone
(401) 390-4948

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X NU Primary

Addresses

Primary practice location

69 Fountain St
Pawtucket, RI 02860-1242

Mailing address

69 Fountain St
Pawtucket, RI 02860-1242
Phone (401) 584-0167

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1255019618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 FOUNTAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601242",
            "telephone_number": "401-584-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 FOUNTAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028601242",
            "telephone_number": "401-584-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER COSMOS PERINATAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "PEGUERO",
        "authorized_official_first_name": "CHANELLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "401-390-4948"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.