Active NPI
Lakisha Redditt
- Doula
- Saint Louis, MO
National Provider Identifier
1407339476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 4978 Odell St
Saint Louis, MO 63139-1010 - Phone
- (314) 679-0902
- NPI assigned
- Sep 14, 2018
- Last updated
- Sep 14, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | ||
| Health Educator | 174H00000X | NU | ||
| Doula | 374J00000X | NU | Primary |
Addresses
Primary practice location
4978 Odell St
Saint Louis, MO 63139-1010
Mailing address
4978 Odell St
Saint Louis, MO 63139-1010
Phone (314) 679-0902
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": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1407339476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4978 ODELL ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631391010",
"telephone_number": "314-679-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4978 ODELL ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631391010",
"telephone_number": "314-679-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDITT",
"first_name": "LAKISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.