Active NPI
Dear Doula
- Doula
- Rockford, IL
National Provider Identifier
1891508065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- DEAR DOULA
- Practice address
- 206 Saint Louis Ave
Rockford, IL 61104-1521 - Phone
- (701) 870-0734
- NPI assigned
- Jan 30, 2025
- 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
- Jenna M Fitzgerald, CD
- Title
- Doula
- Phone
- (701) 870-0734
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Chore Provider | 372500000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
206 Saint Louis Ave
Rockford, IL 61104-1521
Mailing address
206 Saint Louis Ave
Rockford, IL 61104-1521
Phone (701) 870-0734
Other names 1
- Stateline Birth Keepers
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1891508065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 SAINT LOUIS AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611041521",
"telephone_number": "701-870-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 SAINT LOUIS AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611041521",
"telephone_number": "701-870-0734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAR DOULA",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-30",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "JENNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOULA",
"authorized_official_telephone_number": "701-870-0734",
"authorized_official_credential": "CD"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stateline Birth Keepers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.