Active NPI
Tatiana Pericles Donaldson
- Doula
- Las Vegas, NV
National Provider Identifier
1407672504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 3540 W Sahara Ave
Ste 6 PMB 587
Las Vegas, NV 89102 - Phone
- (702) 755-3212
- NPI assigned
- Nov 23, 2024
- Last updated
- Nov 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
3540 W Sahara Ave
Ste 6 PMB 587
Las Vegas, NV 89102
Mailing address
3540 W Sahara Ave
Ste 6 PMB 587
Las Vegas, NV 89102
Phone (702) 755-3212
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambitious Black Girl LLC | Doula | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732320000000",
"number": "1407672504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 W SAHARA AVE",
"address_2": "STE 6 PMB 587",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-755-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 W SAHARA AVE",
"address_2": "STE 6 PMB 587",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89102",
"telephone_number": "702-755-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "TATIANA",
"middle_name": "PERICLES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-23",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"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 Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.