Active NPI
Amber Davis, CPD
- Doula
- Chicago, IL
National Provider Identifier
1588360762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 5039 N Troy St Apt G
Chicago, IL 60625-9487 - Phone
- (847) 857-5346
- NPI assigned
- Jan 31, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 4-202224 | IL | |
| Doula | 374J00000X | IL | Primary |
Addresses
Primary practice location
5039 N Troy St Apt G
Chicago, IL 60625-9487
Mailing address
4000 W Montrose Ave
Chicago, IL 60641-2140
Phone (847) 857-5346
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 |
|---|---|---|---|
| 4-202224 | IL | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1588360762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606412140",
"telephone_number": "847-857-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5039 N TROY ST APT G",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606259487",
"telephone_number": "847-857-5346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMBER",
"credential": "CPD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "IL",
"license": "4-202224",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.