Individual provider Active NPI

Maria Varvoutis, CD, PCD, CLC

  • Lactation Consultant (Non-RN)
  • Monterey, CA
National Provider Identifier
1376217174
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
333654
Practice address
26 Via Buena Vis
Monterey, CA 93940-6129
Phone
(727) 742-1763
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Lactation Consultant (Non-RN) 174N00000X 333654 Primary

Addresses

Primary practice location

26 Via Buena Vis
Monterey, CA 93940-6129

Mailing address

403 Reseda Dr
Webster, TX 77598-2532
Phone (727) 742-1763

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@4thtrimesterdoula.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1376217174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 RESEDA DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982532",
            "telephone_number": "727-742-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 VIA BUENA VIS",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406129",
            "telephone_number": "727-742-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARVOUTIS",
        "first_name": "MARIA",
        "credential": "CD, PCD,  CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "333654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@4thtrimesterdoula.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Email",
            "address_1": "26 Via Buena Vis",
            "city": "Monterey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939406129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.

Verify at the official NPI Registry.