Individual provider Active NPI

Shayna Rene Rubi

  • Doula
  • Salem, OR
National Provider Identifier
1477130532
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
THW000104705 Issued in OR
Practice address
1655 Capitol St NE
Salem, OR 97301-7845
Phone
(503) 877-2815
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 THW000104705 OR Primary

Addresses

Primary practice location

1655 Capitol St NE
Salem, OR 97301-7845

Mailing address

4748 Liberty Rd S Apt 208
Salem, OR 97302-5189
Phone (520) 833-8810

Other identifiers 1

IdentifierTypeStateIssuer
THW000104705MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL intakeq.com Direct

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
THW000104705ORMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1477130532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 LIBERTY RD S APT 208",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025189",
            "telephone_number": "520-833-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017845",
            "telephone_number": "503-877-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBI",
        "first_name": "SHAYNA",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "THW000104705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THW000104705",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "intakeq.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1655 Capitol St NE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973017845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.