Edens Garden Birth

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

EDENS GARDEN BIRTH

Practice address

5255 Old Columbia Rd
Goochland, VA 23063-2717

Phone

(804) 869-1225

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Blake Rollogas

Title

Owner

Phone

(804) 869-1225

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1366865362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 OLD COLUMBIA RD",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230632717",
            "telephone_number": "804-869-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 OLD COLUMBIA RD",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230632717",
            "telephone_number": "804-869-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENS GARDEN BIRTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "ROLLOGAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-869-1225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Goochland, VA
• Doula in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.