Active NPI
Aireal Bruins, CERTIFIED DOULA
- Doula
- Pawtucket, RI
National Provider Identifier
1558016121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 3115526
- Practice address
- 199 West Ave Apt 2L
Pawtucket, RI 02860-3769 - Phone
- (323) 842-6515
- NPI assigned
- Feb 13, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 3115526 | RI | Primary |
Addresses
Primary practice location
199 West Ave Apt 2L
Pawtucket, RI 02860-3769
Mailing address
199 West Ave Apt 2L
Pawtucket, RI 02860-3769
Phone (323) 842-6515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-4501550 | Other | RI | NA |
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 |
|---|---|---|---|
| 3115526 | RI | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644710400000",
"number": "1558016121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 WEST AVE APT 2L",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603769",
"telephone_number": "323-842-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 WEST AVE APT 2L",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028603769",
"telephone_number": "323-842-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUINS",
"first_name": "AIREAL",
"credential": "CERTIFIED DOULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-13",
"last_updated": "2022-02-13",
"certification_date": "2022-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "RI",
"license": "3115526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "87-4501550",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.