Active NPI
Pamela Sue Churchill, CLD,CBC,CD
- Doula
- Waterford, ME
National Provider Identifier
1912564253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 3069
- Practice address
- 81 Proctor HTS Dr
Waterford, ME 04088-3160 - Phone
- (207) 615-4966
- NPI assigned
- May 22, 2019
- Last updated
- May 22, 2019
- 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 | 3069 | PA | Primary |
Addresses
Primary practice location
81 Proctor HTS Dr
Waterford, ME 04088-3160
Mailing address
81 Proctor HTS Dr
Waterford, ME 04088-3160
Phone (207) 615-4966
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 |
|---|---|---|---|
| 3069 | PA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1912564253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 PROCTOR HTS DR",
"city": "WATERFORD",
"state": "ME",
"postal_code": "040883160",
"telephone_number": "207-615-4966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 PROCTOR HTS DR",
"city": "WATERFORD",
"state": "ME",
"postal_code": "040883160",
"telephone_number": "207-615-4966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCHILL",
"first_name": "PAMELA",
"middle_name": "SUE",
"credential": "CLD,CBC,CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "PA",
"license": "3069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.