Active NPI
Telisse Stanfield, CBD, CBC, CPD
- Doula
- Dallas, TX
National Provider Identifier
1285269589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 320 E 5TH St
Dallas, TX 75203-1315 - Phone
- (214) 984-6882
- NPI assigned
- Mar 6, 2020
- Last updated
- Mar 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | NU | Primary |
Addresses
Primary practice location
320 E 5TH St
Dallas, TX 75203-1315
Mailing address
PO Box 224023
Dallas, TX 75222-4023
Phone (214) 984-6882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197608 | Other | SELF |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1285269589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 224023",
"city": "DALLAS",
"state": "TX",
"postal_code": "752224023",
"telephone_number": "214-984-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E 5TH ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752031315",
"telephone_number": "214-984-6882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFIELD",
"first_name": "TELISSE",
"credential": "CBD, CBC, CPD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF",
"identifier": "197608",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.