Individual provider Active NPI

Elizabeth Jane Dielentheis, BIRTH DOULA

  • Doula
  • San Francisco, CA
National Provider Identifier
1598537292
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
1442 11TH Ave Unit B
San Francisco, CA 94122-3605
Phone
(651) 769-5153
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

1442 11TH Ave Unit B
San Francisco, CA 94122-3605

Mailing address

1442 11TH Ave Unit B
San Francisco, CA 94122-3605
Phone (651) 769-5153

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sutro Doula Services LLC Doula CurrentSince Feb 4, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1598537292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 11TH AVE UNIT B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223605",
            "telephone_number": "651-769-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 11TH AVE UNIT B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223605",
            "telephone_number": "651-769-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIELENTHEIS",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "BIRTH DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.