Active NPI
Chavonna Green
- Doula
- Roseville, CA
National Provider Identifier
1346952033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1079 Sunrise Ave Ste B223
Roseville, CA 95661-7009 - Phone
- (844) 693-7689
- NPI assigned
- Dec 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1079 Sunrise Ave Ste B223
Roseville, CA 95661-7009
Mailing address
1079 Sunrise Ave Ste B223
Roseville, CA 95661-7009
Phone (844) 693-7689
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maternal Wellness, LLC | Doula | Current | Accepting new patients |
Locations
1079 Sunrise Ave
Ste B223
Roseville, CA 95661
Phone (844) 693-7689
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1346952033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 SUNRISE AVE STE B223",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617009",
"telephone_number": "844-693-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 SUNRISE AVE STE B223",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617009",
"telephone_number": "844-693-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "CHAVONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.