Rasheada Lynn Wallace, (CD,PCD)

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1609 Murdoch Rd FL 2
Philadelphia, PA 19150-1011

Phone

(267) 231-4615

NPI assigned

Sep 9, 2024

Last updated

Sep 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Birthing Nest Inc,

  dba Tri-State Doulas

  • Doula
  • Philadelphia, PA
  • NPI 1477362416
  NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1780410779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PHIL ELLENA ST FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192222",
            "telephone_number": "267-231-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MURDOCH RD FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501011",
            "telephone_number": "267-231-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "RASHEADA",
        "middle_name": "LYNN",
        "credential": "(CD,PCD)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Wallace, PT
• Kristen Ashley Wallace, D.O.
• Meghan Meghan Wallace
• Molly Elizabeth Wallace, MD
• Paul Wallace, M.D.
• Ruby M Wallace, RPH
• Eliot M Wallack, MD
• Deanne Wallaert, PHDHP
• Jessica Wallauer, PHARMD
• Selemon Mulualem Walle, M.D.

• Doula in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Doula in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.