Organization Active NPI

Community Doulas of Waco

  • Doula
  • Waco, TX
National Provider Identifier
1609505460
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
COMMUNITY DOULAS OF WACO
Practice address
2505 Washington Ave Ste 10
Waco, TX 76710-7408
Phone
(254) 307-0377
Fax
(254) 296-1241
NPI assigned
Jun 7, 2022
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Mrs. Tonja D. Carpenter, IBCLC,RLC, PCD(DONA)NPI 1083122964
Title
Ceo
Phone
(254) 307-0377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

2505 Washington Ave Ste 10
Waco, TX 76710-7408

Mailing address

4300 W Waco Dr # B2-228
Waco, TX 76710-7010
Phone (254) 307-0377

National Provider Directory

National Provider Directory

Locations

2505 Washington Ave
Ste 10
Waco, TX 76710
Phone (254) 307-0377

4300 W Waco Dr
#B2228
Waco, TX 76710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1609505460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W WACO DR # B2-228",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107010",
            "telephone_number": "254-307-0377",
            "fax_number": "254-296-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 WASHINGTON AVE STE 10",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107408",
            "telephone_number": "254-307-0377",
            "fax_number": "254-296-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DOULAS OF WACO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "TONJA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "254-307-0377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IBCLC,RLC, PCD(DONA)"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.