Individual provider Active NPI

Madison Jade Ofert

  • Doula
  • Williston, ND
National Provider Identifier
1629607312
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
3001 29TH St W Apt 115
Williston, ND 58801-3597
Phone
(701) 580-9252
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X ND Primary

Addresses

Primary practice location

3001 29TH St W Apt 115
Williston, ND 58801-3597

Mailing address

3001 29TH St W Apt 115
Williston, ND 58801-3597
Phone (701) 580-9252

Other names 1

  • Madison Jade Davis Professional name

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1629607312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 29TH ST W APT 115",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013597",
            "telephone_number": "701-580-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 29TH ST W APT 115",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013597",
            "telephone_number": "701-580-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFERT",
        "first_name": "MADISON",
        "middle_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "DAVIS",
            "middle_name": "JADE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.