Active NPI
Vanessa Chevon Holland, AAHCC
- Doula
- Round Lake Beach, IL
National Provider Identifier
1508278482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- BRADLEY DOULA, AAHCC
- Practice address
- 2401 N Periwinkle Way
Round Lake Beach, IL 60073-4038 - Phone
- (847) 219-7345
- NPI assigned
- May 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | BRADLEY METHOD AAHCC | IL | |
| Doula | 374J00000X | BRADLEY DOULA, AAHCC | IL | Primary |
Addresses
Primary practice location
2401 N Periwinkle Way
Round Lake Beach, IL 60073-4038
Mailing address
2401 N Periwinkle Way
Round Lake Beach, IL 60073-4038
Phone (847) 219-7345
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
| License | State | Type | Specialty |
|---|---|---|---|
| BRADLEY METHOD AAHCC | IL | MD | Health Educator |
| BRADLEY DOULA, AAHCC | IL | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1508278482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 N PERIWINKLE WAY",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600734038",
"telephone_number": "847-219-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 N PERIWINKLE WAY",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600734038",
"telephone_number": "847-219-7345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "VANESSA",
"middle_name": "CHEVON",
"credential": "AAHCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "IL",
"license": "BRADLEY METHOD AAHCC",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "IL",
"license": "BRADLEY DOULA, AAHCC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Lake Beach, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.