Active NPI
Modern Traditions Doula
- Doula
- Ashland, OR
National Provider Identifier
1891212924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- MODERN TRADITIONS DOULA
- Practice address
- 2233 Villard St Apt 203
Ashland, OR 97520 - Phone
- (541) 816-0866
- NPI assigned
- Aug 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Rose, CD,PCD(DONA)
- Title
- Owner/Doula
- Phone
- (541) 816-0866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | OR | Primary |
Addresses
Primary practice location
2233 Villard St Apt 203
Ashland, OR 97520
Mailing address
2233 Villard St Apt 203
Ashland, OR 97520-1440
Phone (541) 816-0866
Other practice location 1
72 Wightman St Apt 4
Ashland, OR 97520-2395
Phone (541) 816-0866
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Doula
- Ashland, OR
- NPI 1114392016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526601600000",
"number": "1891212924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 VILLARD ST APT 203",
"city": "ASHLAND",
"state": "OR",
"postal_code": "975201440",
"telephone_number": "541-816-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 VILLARD ST APT 203",
"city": "ASHLAND",
"state": "OR",
"postal_code": "97520",
"telephone_number": "541-816-0866"
}
],
"practiceLocations": [
{
"address_1": "72 Wightman St Apt 4",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "OR",
"postal_code": "975202395",
"country_code": "US",
"telephone_number": "541-816-0866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MODERN TRADITIONS DOULA",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-29",
"last_updated": "2018-05-18",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "OWNER/DOULA",
"authorized_official_telephone_number": "541-816-0866",
"authorized_official_credential": "CD,PCD(DONA)"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.