Individual provider Active NPI

Shawnta' Pulliam-Brown, BCNWP, CD(DONA)

  • Doula
  • Erie, PA
National Provider Identifier
1255076923
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
14594 Issued in PA
Practice address
4906 Richmond St
Erie, PA 16509-1978
Phone
(814) 299-9550
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Homeopath 175L00000X
Doula 374J00000X 14594 PA Primary

Addresses

Primary practice location

4906 Richmond St
Erie, PA 16509-1978

Mailing address

3612 Brandes St
Erie, PA 16504-3002
Phone (814) 460-3205

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
14594PAMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Divine Femininity, LLC. Multi-Specialty CurrentSince Jul 20, 2022 Accepting new patients
Nurturing Hearts, Inc. Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1255076923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 BRANDES ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165043002",
            "telephone_number": "814-460-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 RICHMOND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091978",
            "telephone_number": "814-299-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM-BROWN",
        "first_name": "SHAWNTA'",
        "credential": "BCNWP, CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "PA",
            "license": "14594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.