Wild Mother Path, LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

WILD MOTHER PATH, LLC

Doing business as

Queen City Doulas

Practice address

12821 Jacks LN
Pineville, NC 28134-6430

Phone

(704) 268-9194

NPI assigned

May 9, 2025

Organization subpart

No

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

Authorized official

Name

Kaitlyn Blanche Marie Foster, NP, RNNPI 1376007328

Title

Member

Phone

(704) 268-9194

Specialties & licenses 2

Addresses

Other names 1

• Queen City Doulas Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaitlyn Blanche Marie Foster, PNP

  • Nurse Practitioner
  • Charlotte, NC
  • NPI 1376007328
  NPD Authorized official

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1659161842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12821 JACKS LN",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346430",
            "telephone_number": "704-268-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 JACKS LN",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281346430",
            "telephone_number": "704-268-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD MOTHER PATH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KAITLYN",
        "authorized_official_middle_name": "BLANCHE MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-268-9194",
        "authorized_official_credential": "NP, RN"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen City Doulas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Elise Tucker Watkins, OTR/L
• Tracy Anne Weathers, LCSW, MSW
• Paul Richard Weaver, DO
• Austin Lee White, PT, DPT
• Sherri Lasonia White, LMHC
• Lee Angelo Wiley
• Megan Williams
• Jessi Wilson
• Kimberly Jo Woolard, MS, CCC-SLP
• Katelyn Wright, M.S. CCC-SLP

• Doula in Pineville, NC
• Providers in Pineville, NC by specialty
• Doula in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.