Active NPI
Serveen Antoinette Johnson, DOULA
- Doula
- Clarksville, TN
National Provider Identifier
1346907409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 484-278-1648
- Practice address
- 1713 Autumn Dr
Clarksville, TN 37042-1727 - Phone
- (931) 980-7601
- Fax
- (931) 572-5252
- NPI assigned
- Nov 23, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 484-278-1648 | PA | Primary |
Addresses
Primary practice location
1713 Autumn Dr
Clarksville, TN 37042-1727
Mailing address
1713 Autumn Dr
Clarksville, TN 37042-1727
Phone (931) 980-7601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85-3803834 | Other | TN | STATE OF TENNESSEE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 484-278-1648 | PA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1346907409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 AUTUMN DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370421727",
"telephone_number": "931-980-7601",
"fax_number": "931-572-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 AUTUMN DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370421727",
"telephone_number": "931-980-7601",
"fax_number": "931-572-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SERVEEN",
"middle_name": "ANTOINETTE",
"credential": "DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "PA",
"license": "484-278-1648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TENNESSEE",
"identifier": "85-3803834",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.