Individual provider Active NPI

Angelique Ash

  • Doula
  • Lake Worth, FL
National Provider Identifier
1265128581
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
1521130400605 Issued in FL
Practice address
7765 Lake Worth Rd # 1047
Lake Worth, FL 33467-2536
Phone
(561) 331-0964
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 1521130400605 FL Primary

Addresses

Primary practice location

7765 Lake Worth Rd # 1047
Lake Worth, FL 33467-2536

Mailing address

7765 Lake Worth Rd # 1047
Lake Worth, FL 33467-2536
Phone (561) 331-0964

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
1521130400605FLMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Sereni Postnatal Retreat Inc Doula CurrentSince Mar 30, 2025 Accepting new patients

Locations

7765 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 331-0964

Organizations & group practices 1

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": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1265128581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 LAKE WORTH RD # 1047",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672536",
            "telephone_number": "561-331-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 LAKE WORTH RD # 1047",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672536",
            "telephone_number": "561-331-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASH",
        "first_name": "ANGELIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": "1521130400605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.