Organization Active NPI

Back to You Birth & Postpartum Doulas

  • Doula
  • Rockford, IL
National Provider Identifier
1932825601
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
BACK TO YOU BIRTH & POSTPARTUM DOULAS
Practice address
804 Woodlane Ave
Rockford, IL 61107-3371
Phone
(216) 409-3935
NPI assigned
Oct 14, 2022
Last updated
Nov 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Traci Earhart
Title
Owner/Ceo and Doula/CLC
Phone
(216) 409-3935

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WL0100X
DoulaGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

804 Woodlane Ave
Rockford, IL 61107-3371

Mailing address

804 Woodlane Ave
Rockford, IL 61107-3371
Phone (216) 409-3935

Other identifiers 1

IdentifierTypeStateIssuer
1154668127OtherILTBD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address traci@backtoyousupport.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1932825601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 WOODLANE AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073371",
            "telephone_number": "216-409-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WOODLANE AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073371",
            "telephone_number": "216-409-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO YOU BIRTH & POSTPARTUM DOULAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "EARHART",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OWNER/CEO AND DOULA/CLC",
        "authorized_official_telephone_number": "216-409-3935"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBD",
            "identifier": "1154668127",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "traci@backtoyousupport.com",
            "affiliation": "N",
            "endpointDescription": "Secure email address for communication with patients.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email messages between providers and patients.",
            "address_1": "804 Woodlane Ave",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611073371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 29, 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.

Verify at the official NPI Registry.