Active NPI
Divine Doula Service LLC
- Doula
- Surprise, AZ
National Provider Identifier
1487588422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- DIVINE DOULA SERVICE LLC
- Practice address
- 12534 N 142ND LN
Surprise, AZ 85379-5586 - Phone
- (602) 775-8405
- Fax
- (602) 775-8405
- NPI assigned
- Jun 12, 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
- Mrs. Denisha Clemons
- Title
- Doula/Birthworker
- Phone
- (602) 775-8405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
12534 N 142ND LN
Surprise, AZ 85379-5586
Mailing address
7776 S Pointe Pkwy E
Suite 101
Phoenix, AZ 85044
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Doula
- Surprise, AZ
- NPI 1346187127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1487588422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7776 S POINTE PKWY E",
"address_2": "SUITE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12534 N 142ND LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795586",
"telephone_number": "602-775-8405",
"fax_number": "602-775-8405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE DOULA SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "CLEMONS",
"authorized_official_first_name": "DENISHA",
"authorized_official_title_or_position": "DOULA/BIRTHWORKER",
"authorized_official_telephone_number": "602-775-8405",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.