Active NPI
Taylor Renee Newcomb
- Doula
- San Rafael, CA
National Provider Identifier
1548928138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 219 C St
San Rafael, CA 94901-4916 - Phone
- (949) 390-3434
- NPI assigned
- Dec 1, 2021
- Last updated
- Dec 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | CA | Primary |
Addresses
Primary practice location
219 C St
San Rafael, CA 94901-4916
Mailing address
219 C St
San Rafael, CA 94901-4916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000000000000 | Other | CA | NURSING SERVICE RELATED PROVIDERS TYPE |
| 000000000000000000 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | taylorreneebirth@gmail.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1548928138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 C ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949014916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 C ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949014916",
"telephone_number": "949-390-3434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMB",
"first_name": "TAYLOR",
"middle_name": "RENEE",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING SERVICE RELATED PROVIDERS TYPE",
"identifier": "000000000000000000",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000000000000000",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "taylorreneebirth@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "219 C St",
"city": "San Rafael",
"state": "CA",
"country_code": "US",
"postal_code": "949014916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.