NPIMap

Organization Active NPI

A Monarch Birth, LLC

  • Doula
  • Minneapolis, MN
National Provider Identifier
1407207202
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
A MONARCH BIRTH, LLC
Practice address
1937 Aldrich Ave S
12
Minneapolis, MN 55403-3103
Phone
(612) 718-7004
NPI assigned
Jun 23, 2016
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Alicia KornackerNPI 1891146692
Title
Birth Doula
Phone
(612) 718-7004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

1937 Aldrich Ave S
12
Minneapolis, MN 55403-3103

Mailing address

1937 Aldrich Ave S
12
Minneapolis, MN 55403-3103
Phone (612) 718-7004

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1407207202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 ALDRICH AVE S",
            "address_2": "12",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033103",
            "telephone_number": "612-718-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 ALDRICH AVE S",
            "address_2": "12",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033103",
            "telephone_number": "612-718-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MONARCH BIRTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "KORNACKER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "BIRTH DOULA",
        "authorized_official_telephone_number": "612-718-7004"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.