Organization Active NPI

This Is Diversified LLC

  • Doula
  • Lansing, MI
National Provider Identifier
1740998475
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Erica GuthausNPI 1013620178
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)CodeLicenseStatePrimary
DoulaGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.