Organization Active NPI

Mama T. Holistic

  • Doula
  • Tracy, CA
National Provider Identifier
1548008998
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
MAMA T. HOLISTIC
Practice address
271 Fox Meadow CT
Tracy, CA 95376-5376
Phone
(510) 697-2335
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Therese Kelly SladeNPI 1881464733
Title
Owner
Phone
(510) 697-2335

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)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

271 Fox Meadow CT
Tracy, CA 95376-5376

Mailing address

271 Fox Meadow CT
Tracy, CA 95376-5376
Phone (510) 697-2335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1548008998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FOX MEADOW CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953765376",
            "telephone_number": "510-697-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FOX MEADOW CT",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953765376",
            "telephone_number": "510-697-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA T. HOLISTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-697-2335"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.