Organization Active NPI

Sacred Waters Perinatal Services

  • Doula
  • Providence, RI
National Provider Identifier
1740152990
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
SACRED WATERS PERINATAL SERVICES
Practice address
42 Mount Pleasant Ave
Providence, RI 02908-5122
Phone
(401) 346-4124
NPI assigned
Sep 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Ms. Mariela Minor, CPDNPI 1881575009
Title
Doula
Phone
(401) 346-4124

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
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

42 Mount Pleasant Ave
Providence, RI 02908-5122

Mailing address

42 Mount Pleasant Ave FL 2
Providence, RI 02908-5122
Phone (401) 346-4124

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1740152990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MOUNT PLEASANT AVE FL 2",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085122",
            "telephone_number": "401-346-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MOUNT PLEASANT AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029085122",
            "telephone_number": "401-346-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED WATERS PERINATAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "DOULA",
        "authorized_official_telephone_number": "401-346-4124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPD"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.