Active NPI
Tommie Dorsey, PASTOR, CD
- Doula
- Olivehurst, CA
National Provider Identifier
1609626696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1561 7TH Ave Apt 102
Olivehurst, CA 95961-4253 - Phone
- (530) 415-9696
- NPI assigned
- Mar 25, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Community Health Worker | 172V00000X | 003150963 | CA | |
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1561 7TH Ave Apt 102
Olivehurst, CA 95961-4253
Mailing address
PO Box 1342
Marysville, CA 95901-0038
Phone (307) 683-0858
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 |
|---|---|---|---|
| 003150963 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1609626696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1342",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959010038",
"telephone_number": "307-683-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 7TH AVE APT 102",
"city": "OLIVEHURST",
"state": "CA",
"postal_code": "959614253",
"telephone_number": "530-415-9696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORSEY",
"first_name": "TOMMIE",
"name_prefix": "Ms.",
"credential": "PASTOR, CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-25",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "003150963",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olivehurst, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.