Individual provider Active NPI

Ella Caroline Dooge, IBCLC

  • Lactation Consultant (Non-RN)
  • New Baltimore, MI
National Provider Identifier
1619788205
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-316495
Practice address
37342 Sienna Oaks Dr
New Baltimore, MI 48047-5505
Phone
(586) 549-8077
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-316495 Primary

Addresses

Primary practice location

37342 Sienna Oaks Dr
New Baltimore, MI 48047-5505

Mailing address

37342 Sienna Oaks Dr
New Baltimore, MI 48047-5505
Phone (586) 549-8077

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1619788205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37342 SIENNA OAKS DR",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480475505",
            "telephone_number": "586-549-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37342 SIENNA OAKS DR",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480475505",
            "telephone_number": "586-549-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOGE",
        "first_name": "ELLA",
        "middle_name": "CAROLINE",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-316495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Baltimore, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.