NPIMap

Organization Active NPI

Birthroot Community Doula

  • Doula
  • Erie, PA
National Provider Identifier
1760298566
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
BIRTHROOT COMMUNITY DOULA
Practice address
650 East Ave Ste 106
Erie, PA 16503-1535
Phone
(814) 449-6200
Fax
(814) 205-0755
NPI assigned
Dec 6, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNITED NEIGHBORHOOD FACILITIES HEALTH CARE CORPORATION (UNFHCC)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Mrs. Tica Nicole NicksonNPI 1427864222
Title
Executive Director
Phone
(814) 449-6200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

650 East Ave Ste 106
Erie, PA 16503-1535

Mailing address

650 East Ave Ste 106
Erie, PA 16503-1535
Phone (814) 449-6200

National Provider Directory

National Provider Directory
Part of
Unfhcc

Locations

650 East Ave
Ste 106
Erie, PA 16503
Phone (814) 206-0694

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1760298566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 EAST AVE STE 106",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031535",
            "telephone_number": "814-449-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 EAST AVE STE 106",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031535",
            "telephone_number": "814-449-6200",
            "fax_number": "814-205-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRTHROOT COMMUNITY DOULA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED NEIGHBORHOOD FACILITIES HEALTH CARE CORPORATION (UNFHCC)",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "NICKSON",
        "authorized_official_first_name": "TICA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-449-6200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.