Individual provider Active NPI

Jennifer Lynnette Dalgas

  • Doula
  • Corvallis, OR
National Provider Identifier
1437749587
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
THW000003395 Issued in OR
Practice address
2800 NW Sulphur Springs Rd
Corvallis, OR 97330-9584
Phone
(720) 468-1206
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X THW000003395 OR Primary

Addresses

Primary practice location

2800 NW Sulphur Springs Rd
Corvallis, OR 97330-9584

Mailing address

2800 NW Sulphur Springs Rd
Corvallis, OR 97330-9584
Phone (720) 468-1206

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
THW000003395ORMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1437749587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NW SULPHUR SPRINGS RD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309584",
            "telephone_number": "720-468-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NW SULPHUR SPRINGS RD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973309584",
            "telephone_number": "720-468-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALGAS",
        "first_name": "JENNIFER",
        "middle_name": "LYNNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "THW000003395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.