Individual provider Active NPI

Ednalyna Martin, IBCLC, CD-L

  • Doula
  • Las Vegas, NV
National Provider Identifier
1407509441
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
8635 W Sahara Ave Unit 4144
Las Vegas, NV 89117-5858
Phone
(702) 779-3121
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-303380 NV
Lactation Consultant (Non-RN) 174N00000X L-303380 GU
Doula 374J00000X NV Primary

Addresses

Primary practice location

8635 W Sahara Ave Unit 4144
Las Vegas, NV 89117-5858

Mailing address

8635 W Sahara Ave Unit 4144
Las Vegas, NV 89117-5858
Phone (702) 779-3121

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

State licenses

LicenseStateTypeSpecialty
L-303380GUMDLactation Consultant (Non-RN)
L-303380NVMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
The Birth Tribe LLC Doula CurrentSince Apr 1, 2023 Accepting new patients

Locations

8635 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 445-7101

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1407509441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W SAHARA AVE UNIT 4144",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175858",
            "telephone_number": "702-779-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W SAHARA AVE UNIT 4144",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175858",
            "telephone_number": "702-779-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "EDNALYNA",
        "credential": "IBCLC, CD-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NV",
            "license": "L-303380",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GU",
            "license": "L-303380",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.