Individual provider Active NPI

Randal J McCallian

  • Doula
  • Tampa, FL
National Provider Identifier
1306192992
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
#9053
Practice address
5156 Bernard Cir
#203
Tampa, FL 33617-4726
Phone
(720) 933-4005
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X #9053 Primary

Addresses

Primary practice location

5156 Bernard Cir
#203
Tampa, FL 33617-4726

Mailing address

5156 Bernard Cir
#203
Tampa, FL 33617-4726
Phone (720) 933-4005

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1306192992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 BERNARD CIR",
            "address_2": "#203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336174726",
            "telephone_number": "720-933-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 BERNARD CIR",
            "address_2": "#203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336174726",
            "telephone_number": "720-933-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLIAN",
        "first_name": "RANDAL",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": "#9053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.