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Organization Active NPI

Precious Memoriesdoula

  • Doula
  • Rio Rancho, NM
National Provider Identifier
1780089151
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
4962281 Issued in NM
Legal business name
PRECIOUS MEMORIESDOULA
Practice address
1231 Desert Paintbrush Loop NE
Rio Rancho, NM 87144-2608
Phone
(505) 990-9408
NPI assigned
Oct 28, 2014
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Evonnie Fomento, SBD
Title
Owner
Phone
(505) 990-9408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 4962281 NM Primary

Addresses

Primary practice location

1231 Desert Paintbrush Loop NE
Rio Rancho, NM 87144-2608

Mailing address

1231 Desert Paintbrush Loop NE
Rio Rancho, NM 87144-2608
Phone (505) 990-9408

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1780089151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 DESERT PAINTBRUSH LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442608",
            "telephone_number": "505-990-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 DESERT PAINTBRUSH LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442608",
            "telephone_number": "505-990-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS MEMORIESDOULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "FOMENTO",
        "authorized_official_first_name": "EVONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-990-9408",
        "authorized_official_credential": "SBD"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NM",
            "license": "4962281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.