NPIMap

Organization Active NPI

Rising Tide Midwifery

  • Doula
  • Roseville, CA
National Provider Identifier
1336967348
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
RISING TIDE MIDWIFERY
Practice address
1051 Treasure LN
Roseville, CA 95678-1459
Phone
(415) 300-7329
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Mrs. Shelton Livingston, LM, DOULANPI 1366092603
Title
Ceo
Phone
(415) 300-7329

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: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

1051 Treasure LN
Roseville, CA 95678-1459

Mailing address

1051 Treasure LN
Roseville, CA 95678-1459
Phone (415) 300-7329

Other names 1

  • Rising Tide Midwifery Other name

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1336967348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 TREASURE LN",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781459",
            "telephone_number": "415-300-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 TREASURE LN",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781459",
            "telephone_number": "415-300-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING TIDE MIDWIFERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "SHELTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-300-7329",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LM, DOULA"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Tide Midwifery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.