Organization Active NPI

Shanti Mama Wellness

  • Doula
  • Burlington, VT
National Provider Identifier
1841606720
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
SHANTI MAMA WELLNESS
Practice address
1 Mill St
Suite 244
Burlington, VT 05401-1530
Phone
(978) 808-9297
NPI assigned
Jul 11, 2014
Last updated
Jul 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Miss Amanda Nicole Young
Title
Owner
Phone
(978) 808-9297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

1 Mill St
Suite 244
Burlington, VT 05401-1530

Mailing address

1 Mill St
Suite 244
Burlington, VT 05401-1530

National Provider Directory

National Provider Directory

Locations

1 Mill St
Ste 244
Burlington, VT 05401
Phone (978) 808-9297

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1841606720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "address_2": "SUITE 244",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "address_2": "SUITE 244",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "978-808-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTI MAMA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-808-9297",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.