Organization Active NPI

Black Mothers' Breastfeeding Association

  • Doula
  • Detroit, MI
National Provider Identifier
1306551775
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
BLACK MOTHERS' BREASTFEEDING ASSOCIATION
Practice address
19750 Burt Rd Ste 205
Detroit, MI 48219-2078
Phone
(800) 313-6141
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Authorized official

Name
Ms. Kiddada Green
Title
Executive Director
Phone
(248) 497-6257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

19750 Burt Rd Ste 205
Detroit, MI 48219-2078

Mailing address

19750 Burt Rd Ste 205
Detroit, MI 48219-2078
Phone (800) 313-6141

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.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1306551775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19750 BURT RD STE 205",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192078",
            "telephone_number": "800-313-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19750 BURT RD STE 205",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192078",
            "telephone_number": "800-313-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK MOTHERS' BREASTFEEDING ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KIDDADA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "248-497-6257",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.