NPIMap

Organization Active NPI

Green Bay Doulas, LLC

  • Doula
  • Green Bay, WI
National Provider Identifier
1699395863
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
GREEN BAY DOULAS, LLC
Practice address
437 S Jackson St RM 130
Green Bay, WI 54301-3909
Phone
(920) 246-0200
NPI assigned
Apr 17, 2020
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Emily JacobsonNPI 1619832938
Title
Owner, Certified Doula
Phone
(920) 246-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X NU Primary

Addresses

Primary practice location

437 S Jackson St RM 130
Green Bay, WI 54301-3909

Mailing address

PO Box 1851
Green Bay, WI 54305-1851
Phone (920) 246-0200

National Provider Directory

National Provider Directory

Locations

437 S Jackson St
Rm 130
Green Bay, WI 54301
Phone (920) 246-0200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1699395863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1851",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543051851",
            "telephone_number": "920-246-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S JACKSON ST RM 130",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013909",
            "telephone_number": "920-246-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BAY DOULAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER, CERTIFIED DOULA",
        "authorized_official_telephone_number": "920-246-0200"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.