Wildfern Doula LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WILDFERN DOULA LLC

Practice address

1211 Hoover St
Eureka, CA 95501-0955

Phone

(707) 832-9450

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Havilah DeatonNPI 1932814860

Title

Doula

Phone

(707) 832-9450

Specialties & licenses 1

Addresses

Other names 1

• Havilah Deaton Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Havilah Deaton

  • Doula
  • Eureka, CA
  • NPI 1932814860
  NPD Authorized official

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1386427797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 HOOVER ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010955",
            "telephone_number": "707-832-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 HOOVER ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010955",
            "telephone_number": "707-832-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFERN DOULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "HAVILAH",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "707-832-9450"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havilah Deaton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesley B. Wieman
• Melissa Wilcox-Falk, M.D.
• Eric Forest Wilcox, M.A. PSYCHOLOGY
• John Elbert Wilcox
• Rachel Irene Wild
• Jenny Wilhelm, A.S.W.
• Xiuyan Zhang Willard, RN
• Shawna Willett, LCSW
• Samantha Summer Williams-Gray, BA
• Amanda-Rae Williams

• Health Service Clinic/Center in Eureka, CA
• Providers in Eureka, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.