Individual provider Active NPI

Tammy Vanstockum, RNC, BSN, CD(DONA)

  • Doula
  • San Angelo, TX
National Provider Identifier
1568879666
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
10451 Issued in TX
Practice address
2713 Lindell Ave
San Angelo, TX 76901-1916
Phone
(325) 262-2906
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 10451 TX Primary

Addresses

Primary practice location

2713 Lindell Ave
San Angelo, TX 76901-1916

Mailing address

2713 Lindell Ave
San Angelo, TX 76901-1916
Phone (325) 223-9257

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
10451TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1568879666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 LINDELL AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769011916",
            "telephone_number": "325-223-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 LINDELL AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769011916",
            "telephone_number": "325-262-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSTOCKUM",
        "first_name": "TAMMY",
        "credential": "RNC, BSN, CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "TX",
            "license": "10451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.