Individual provider Active NPI

Maryanne Tanguay Higgins, MONTRICE/DOULA IBCLC

  • Doula
  • Sebring, FL
National Provider Identifier
1326505348
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
708 Porsche Ave
Sebring, FL 33872-2879
Phone
(863) 382-9789
NPI assigned
Feb 26, 2019
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X FL Primary

Addresses

Primary practice location

708 Porsche Ave
Sebring, FL 33872-2879

Mailing address

708 Porsche Ave
Sebring, FL 33872-2879
Phone (863) 382-9789

Other identifiers 1

IdentifierTypeStateIssuer
102920500MedicaidFL

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1326505348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 PORSCHE AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722879",
            "telephone_number": "863-382-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 PORSCHE AVE",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722879",
            "telephone_number": "863-382-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUAY HIGGINS",
        "first_name": "MARYANNE",
        "credential": "MONTRICE/DOULA IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2021-10-05",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102920500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.