Individual provider Active NPI

Courtney Moore Rodriguez, CPD, CLE

  • Doula
  • Centennial, CO
National Provider Identifier
1861279192
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
7110 S Pennsylvania St
Centennial, CO 80122-1152
Phone
(303) 868-9671
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X
Doula 374J00000X Primary

Addresses

Primary practice location

7110 S Pennsylvania St
Centennial, CO 80122-1152

Mailing address

7110 S Pennsylvania St
Centennial, CO 80122-1152
Phone (303) 868-9671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1861279192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 S PENNSYLVANIA ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221152",
            "telephone_number": "303-868-9671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 S PENNSYLVANIA ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801221152",
            "telephone_number": "303-868-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE RODRIGUEZ",
        "first_name": "COURTNEY",
        "credential": "CPD, CLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.