Activating Light Studio LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

ACTIVATING LIGHT STUDIO LLC

Practice address

601 Chetco Ave Ste 3
Brookings, OR 97415-8010

Phone

(541) 251-8677

NPI assigned

Feb 21, 2025

Last updated

Feb 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Evelyn Garcia-Hallman, CDNPI 1467263947

Title

Owner

Phone

(541) 251-8677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Evelyn Garcia-Hallman, BIRTH/PP DOULA

  • Doula
  • Brookings, OR
  • NPI 1467263947
  NPD Authorized official

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1679379481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150003",
            "telephone_number": "541-251-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CHETCO AVE STE 3",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974158010",
            "telephone_number": "541-251-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATING LIGHT STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA-HALLMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-251-8677",
        "authorized_official_credential": "CD"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Doula in Brookings, OR
• Providers in Brookings, OR by specialty
• Doula in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.