Active NPI
Carmen J Ricanek-Clinton, DOULA
- Doula
- Wilmington, NC
National Provider Identifier
1326674664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 820 Saint Andrews Dr Apt a
Wilmington, NC 28412-8372 - Phone
- (910) 398-4981
- NPI assigned
- Mar 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
820 Saint Andrews Dr Apt a
Wilmington, NC 28412-8372
Mailing address
820 Saint Andrews Dr Apt a
Wilmington, NC 28412-8372
Phone (910) 398-4981
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Wilmington | Health Information Exchange (HIE) |
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": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1326674664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 SAINT ANDREWS DR APT A",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284128372",
"telephone_number": "910-398-4981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SAINT ANDREWS DR APT A",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284128372",
"telephone_number": "910-398-4981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICANEK-CLINTON",
"first_name": "CARMEN",
"middle_name": "J",
"credential": "DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Wilmington",
"affiliation": "N",
"endpointDescription": "doula services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "820 Saint Andrews Dr Apt A",
"city": "Wilmington",
"state": "NC",
"country_code": "US",
"postal_code": "284128372",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wilmington, NC
- Emily Marja Rhoades, FNP
- Brandy Rhodes, FNP-C
- Herman Kyle Rhodes, MD
- Lyndsay Nicole Rhodes
- Stephanie Rhodes, PT
- Eline Ray Ricci, LCSWA
- Lisa Leigh Ricci, PA-C
- Edward Joseph Ricciardelli, MD
- Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry- Monkey Junction)
- Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry - Barclay)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.