Active NPI
Imani Lopez Duff
- Doula
- Vallejo, CA
National Provider Identifier
1609341866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 920 1/2 York St
Vallejo, CA 94590-6204 - Phone
- (707) 299-8250
- NPI assigned
- Oct 3, 2018
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
920 1/2 York St
Vallejo, CA 94590-6204
Mailing address
920 1/2 York St
Vallejo, CA 94590-6204
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": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726358400000",
"number": "1609341866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 1/2 YORK ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945906204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 1/2 YORK ST",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945906204",
"telephone_number": "707-299-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ DUFF",
"first_name": "IMANI",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2018-10-03",
"last_updated": "2024-09-15",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.