Genesis Birth Services LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

GENESIS BIRTH SERVICES LLC

Practice address

1307 Park Ave
#10
Williamsport, PA 17701-2610

Phone

(717) 970-3009

Fax

(717) 970-3009

NPI assigned

Oct 31, 2019

Last updated

Aug 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gerria Coffee, CLC CD CBE CHW MH MA

Title

Owner

Phone

(717) 970-3009

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: genesisbirthservices@mobiledoula.net

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1831733021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 PARK AVE",
            "address_2": "#10",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "717-970-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 PARK AVE",
            "address_2": "#10",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012610",
            "telephone_number": "717-970-3009",
            "fax_number": "717-970-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS BIRTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "GERRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-970-3009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CLC CD CBE CHW MH MA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GenesisBirthServices@MobileDoula.net",
            "affiliation": "Y",
            "endpointDescription": "Mobile Doula is a Client Portal that exceeds HIPAA standards. All documentation and notations are securely stored on this cloud server. Practice and Client/Patient messages are to be sent here",
            "affiliationName": "Mobile HealthCare EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Documentation Notes, images and Records",
            "address_1": "1616 Marlin Pkwy",
            "city": "Williamsport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "177012610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Gaughan, M.S.ED. CF-SLP
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• Geisinger Clinic
• Geisinger-HM Joint Venture, LLC
• Genesis House, Inc
• Genoa Healthcare LLC
• Christopher Gephart, PA-C
• Erica Germini, COTA
• Heather Gerst

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.