Active NPI
Mystical Risings LLC
- Doula
- Modesto, CA
National Provider Identifier
1467360735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- MYSTICAL RISINGS LLC
- Practice address
- 908 Burlington Dr
Modesto, CA 95356-1205 - Phone
- (209) 204-3103
- NPI assigned
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Rose A Wilson
- Title
- Owner
- Phone
- (209) 204-3103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
908 Burlington Dr
Modesto, CA 95356-1205
Mailing address
908 Burlington Dr
Modesto, CA 95356-1205
Phone (209) 204-3103
Other names 1
- Bud & Blossom Doula
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1467360735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 BURLINGTON DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953561205",
"telephone_number": "209-204-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 BURLINGTON DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953561205",
"telephone_number": "209-204-3103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYSTICAL RISINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-204-3103",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bud & Blossom Doula",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.