Organization Active NPI

Modern Traditions Doula

  • Doula
  • Ashland, OR
National Provider Identifier
1891212924
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on May 18, 2018

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

Authorized official

Name
Amanda Rose, CD,PCD(DONA)NPI 1114392016
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)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.