NPIMap

Organization Active NPI

Doula Koko

  • Doula
  • Upper Marlboro, MD
National Provider Identifier
1801658554
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
DOULA KOKO
Practice address
542 Bolin Ter
Upper Marlboro, MD 20774-8868
Phone
(970) 773-3827
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Kortny Pryar Feutardo, CD/PCD (DONA)NPI 1750003455
Title
Owner
Phone
(970) 773-3827

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: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

542 Bolin Ter
Upper Marlboro, MD 20774-8868

Mailing address

68 Watkins Park Dr # 4010
Upper Marlboro, MD 20774-9996
Phone (970) 773-3827

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": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1801658554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WATKINS PARK DR # 4010",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749996",
            "telephone_number": "970-773-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 BOLIN TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748868",
            "telephone_number": "970-773-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOULA KOKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "PRYAR FEUTARDO",
        "authorized_official_first_name": "KORTNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-773-3827",
        "authorized_official_credential": "CD/PCD (DONA)"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.