Mahogany Maternity

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

MAHOGANY MATERNITY

Practice address

22500 Lincoln Way West
South Bend, IN 46628

Phone

(574) 383-1743

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Kelli Nicole Brien, CD(DONA) CLS, LCCENPI 1073172367

Title

Owner

Phone

(574) 383-1743

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kelli Nicole Brien, CD(DONA) LCCE, CLS

  • Doula
  • South Bend, IN
  • NPI 1073172367
  NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1700419249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22500 LINCOLN WAY WEST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46628",
            "telephone_number": "574-383-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22500 LINCOLN WAY WEST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46628",
            "telephone_number": "574-383-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY MATERNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "BRIEN",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-383-1743",
        "authorized_official_credential": "CD(DONA) CLS, LCCE"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Leah Magliola, R.D.,C.D.
• Charles Wesley Magnuson, D.D.S.
• Thomas Gene Magnuson, D.D.S.
• Regan Magyar, RBT
• Britany Mahaffa, LMHC
• John H Mahon, M.D.
• Brianne Elizabeth Mahone
• Marion E. Mahone, MD
• Sara J Mahoney, MSN, RN, FNP-C
• Terrance P. Mahoney, D.D.S.

• Doula in South Bend, IN
• Providers in South Bend, IN by specialty
• Doula in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.