Individual provider Active NPI

Chrishay T Masters, DOULA

  • Doula
  • Elk Grove, CA
National Provider Identifier
1720829526
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
LIC24-000724 Issued in CA
Practice address
5650 Whitelock Parkway
Ste 130 #2185
Elk Grove, CA 95757
Phone
(707) 580-5410
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X LIC24-000724 CA Primary

Addresses

Primary practice location

5650 Whitelock Parkway
Ste 130 #2185
Elk Grove, CA 95757

Mailing address

5650 Whitelock Parkway
Ste 130 #2185
Elk Grove, CA 95757
Phone (707) 580-5410

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

State licenses

LicenseStateTypeSpecialty
LIC24-000724CAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1720829526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 WHITELOCK PARKWAY",
            "address_2": "STE 130 #2185",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95757",
            "telephone_number": "707-580-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 WHITELOCK PARKWAY",
            "address_2": "STE 130 #2185",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95757",
            "telephone_number": "707-580-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "CHRISHAY",
        "middle_name": "T",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": "LIC24-000724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.