Active NPI
Hannah Polomcak
- Doula
- Portage, MI
National Provider Identifier
1891536793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 4128 Winthrop Ave
Portage, MI 49002-2274 - Phone
- (269) 339-2959
- NPI assigned
- Jun 4, 2024
- 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 | Primary |
Addresses
Primary practice location
4128 Winthrop Ave
Portage, MI 49002-2274
Mailing address
4128 Winthrop Ave
Portage, MI 49002-2274
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1891536793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4128 WINTHROP AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490022274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4128 WINTHROP AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490022274",
"telephone_number": "269-339-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLOMCAK",
"first_name": "HANNAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
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- Portage Audiology Consultants, LLC
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- Portage Counseling and Coaching
- Portage Family Dentistry PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.