Doracelis Gisselle Marti Reyes, DOULA

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

8715 NE 108TH Cir Unit 206
Lady Lake, FL 32162-8810

Phone

(352) 702-2065

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1619608320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 NE 108TH CIR UNIT 206",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321628810",
            "telephone_number": "352-702-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 NE 108TH CIR UNIT 206",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321628810",
            "telephone_number": "352-702-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTI REYES",
        "first_name": "DORACELIS",
        "middle_name": "GISSELLE",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudio Marcantonio, DDS
• Marion Dental Group (Lady Lake Endodontics)
• Marion Dental Group
• Scott Markham, PT
• Alexzandria Dwan Marotta, ARNP
• Sharon Martin, CCC-SLP
• Samuel A Mason, DPM
• Emily Matheson, FNP
• Nikola Kankova Matson, CRNA
• Tyme McCormick, PTA

• Doula in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Doula in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.