Active NPI
This Is Diversified LLC
- Doula
- Lansing, MI
National Provider Identifier
1740998475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- THIS IS DIVERSIFIED LLC
- Practice address
- 3115 Ellen Ave
Lansing, MI 48910-3412 - Phone
- (616) 834-7174
- NPI assigned
- Nov 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Guthaus
- Title
- Ceo
- Phone
- (616) 834-7174
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
3115 Ellen Ave
Lansing, MI 48910-3412
Mailing address
3115 Ellen Ave
Lansing, MI 48910-3412
National Provider Directory
National Provider DirectoryPractitioners & 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": "1668124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668124800000",
"number": "1740998475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 ELLEN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489103412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 ELLEN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489103412",
"telephone_number": "616-834-7174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THIS IS DIVERSIFIED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-10",
"status": "A",
"authorized_official_last_name": "GUTHAUS",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "616-834-7174"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.