Organization Active NPI

Mama Dove Doula LLC

  • Doula
  • Pawtucket, RI
National Provider Identifier
1326754334
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
MAMA DOVE DOULA LLC
Practice address
14 Allen Ave
Pawtucket, RI 02860-2302
Phone
(401) 443-0558
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Keesler Gomes, CPDNPI 1841862208
Title
Certified Perinatal Doula
Phone
(401) 443-0558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

14 Allen Ave
Pawtucket, RI 02860-2302

Mailing address

14 Allen Ave
Pawtucket, RI 02860-2302
Phone (401) 443-0558

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": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1326754334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ALLEN AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602302",
            "telephone_number": "401-443-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ALLEN AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602302",
            "telephone_number": "401-443-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA DOVE DOULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "GOMES",
        "authorized_official_first_name": "KEESLER",
        "authorized_official_title_or_position": "CERTIFIED PERINATAL DOULA",
        "authorized_official_telephone_number": "401-443-0558",
        "authorized_official_credential": "CPD"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.