Active NPI
Tawanna Leona Shanell Nottage, DOULA
- Doula
- Orlando, FL
National Provider Identifier
1902689714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 202303048
- Practice address
- 1317 Edgewater Dr Ste 2019
Orlando, FL 32804-6350 - Phone
- (754) 779-5677
- NPI assigned
- Aug 15, 2023
- 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 | 202303048 | FL | Primary |
Addresses
Primary practice location
1317 Edgewater Dr Ste 2019
Orlando, FL 32804-6350
Mailing address
PO Box 121453
Fort Lauderdale, FL 33312-0025
Phone (754) 779-5677
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 |
|---|---|---|---|
| 202303048 | FL | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1902689714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121453",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333120025",
"telephone_number": "754-779-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 EDGEWATER DR STE 2019",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046350",
"telephone_number": "754-779-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOTTAGE",
"first_name": "TAWANNA",
"middle_name": "LEONA SHANELL",
"name_prefix": "Mrs.",
"credential": "DOULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-15",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "FL",
"license": "202303048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.