Active NPI
Kelly Alastair Phipps, CLEC
- Doula
- San Rafael, CA
National Provider Identifier
1871096552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 2017DONA
- Practice address
- 818 Greenberry LN
San Rafael, CA 94903-1226 - Phone
- (415) 412-5104
- NPI assigned
- Mar 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 2017DONA | CA | Primary |
Addresses
Primary practice location
818 Greenberry LN
San Rafael, CA 94903-1226
Mailing address
818 Greenberry LN
San Rafael, CA 94903-1226
Phone (415) 412-5104
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017DONA | CA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520553600000",
"number": "1871096552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 GREENBERRY LN",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031226",
"telephone_number": "415-412-5104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 GREENBERRY LN",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031226",
"telephone_number": "415-412-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "KELLY",
"middle_name": "ALASTAIR",
"credential": "CLEC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-09",
"last_updated": "2018-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "CA",
"license": "2017DONA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.