Active NPI
Tabatha L Seppala
- Doula
- Bunnell, FL
National Provider Identifier
1508323874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- MA1225TS
- Practice address
- 4750 E Moody Blvd Ste 219
Bunnell, FL 32110-7711 - Phone
- (386) 359-7044
- Fax
- (386) 310-0603
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | FL | ||
| Doula | 374J00000X | MA1225TS | FL | Primary |
| Adult Companion | 372600000X | FL | ||
| Health Educator | 174H00000X | FL | ||
| Health & Wellness Coach | 171400000X | FL |
Addresses
Primary practice location
4750 E Moody Blvd Ste 219
Bunnell, FL 32110-7711
Mailing address
12 Woodward LN
Palm Coast, FL 32164-3103
Phone (386) 359-7044
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | ClientCare |
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 |
|---|---|---|---|
| MA1225TS | FL | MD | Doula |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Birth Tribe LLC | Past | Accepting new patients | |
| The Volusia Tribe Community Pregnancy Clinic Corp | Doula | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Midwife
- Ormond Beach, FL
- NPI 1558944546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1508323874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WOODWARD LN",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321643103",
"telephone_number": "386-359-7044",
"fax_number": "386-310-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 E MOODY BLVD STE 219",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321107711",
"telephone_number": "386-359-7044",
"fax_number": "386-310-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPPALA",
"first_name": "TABATHA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "FL",
"license": "MA1225TS",
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "ClientCare",
"affiliation": "N",
"address_1": "4750 E Moody Blvd Ste 219",
"city": "Bunnell",
"state": "FL",
"country_code": "US",
"postal_code": "321107711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bunnell, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.