Active NPI
Odessa Bates
- Doula
- Pittsfield, MA
National Provider Identifier
1871845339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 105
- Practice address
- 27 Rockland Dr
Pittsfield, MA 01201-8418 - Phone
- (413) 642-1165
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 105 | MA | Primary |
Addresses
Primary practice location
27 Rockland Dr
Pittsfield, MA 01201-8418
Mailing address
27 Rockland Dr
Pittsfield, MA 01201-8418
Phone (413) 642-1165
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1308785 | Medicaid | MA | |
| 110027991 | Medicaid | MA | |
| M18684 | Other | MA | BLUE CROSS BLUE SHEILD |
| 1306461 | Medicaid | MA | |
| 22220002001 | Other | MA | BLUE CROSS OF MASS |
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 |
|---|---|---|---|
| 105 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Systems Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Worcester, MA
- NPI 1376827188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1871845339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 ROCKLAND DR",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012018418",
"telephone_number": "413-642-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 ROCKLAND DR",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012018418",
"telephone_number": "413-642-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "ODESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MA",
"license": "105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1308785",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110027991",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "M18684",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306461",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MASS",
"identifier": "22220002001",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.