Individual provider Active NPI

Sanbria Samone Jackson

  • Doula
  • Philadelphia, PA
National Provider Identifier
1457298572
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
3401 I St Ste 407
Philadelphia, PA 19134-1442
Phone
(856) 485-0758
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X PA Primary

Addresses

Primary practice location

3401 I St Ste 407
Philadelphia, PA 19134-1442

Mailing address

1657 The Fairway # 1022
Jenkintown, PA 19046-1423
Phone (267) 994-3170

Other names 1

  • Sanbria Samone Shields Other name

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": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1457298572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 THE FAIRWAY # 1022",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461423",
            "telephone_number": "267-994-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 I ST STE 407",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341442",
            "telephone_number": "856-485-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SANBRIA",
        "middle_name": "SAMONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANBRIA",
            "last_name": "SHIELDS",
            "middle_name": "SAMONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.