Organization Active NPI

Fourth Down LLC

  • Doula
  • Gates Mills, OH
National Provider Identifier
1457039281
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
FOURTH DOWN LLC
Practice address
332 Timberidge TRL
Gates Mills, OH 44040-9319
Phone
(216) 313-0362
NPI assigned
Jul 11, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Mrs. Shannon Nicole Graber, CD,CPD,CLC
Title
Coo
Phone
(216) 313-0362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X NU Primary

Addresses

Primary practice location

332 Timberidge TRL
Gates Mills, OH 44040-9319

Mailing address

332 Timberidge TRL
Gates Mills, OH 44040-9319
Phone (216) 313-0362

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1457039281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 TIMBERIDGE TRL",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409319",
            "telephone_number": "216-313-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 TIMBERIDGE TRL",
            "city": "GATES MILLS",
            "state": "OH",
            "postal_code": "440409319",
            "telephone_number": "216-313-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURTH DOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "216-313-0362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CD,CPD,CLC"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gates Mills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.