Active NPI
Back to You Birth & Postpartum Doulas
- Doula
- Rockford, IL
National Provider Identifier
1932825601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- 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, 2024
- 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
- Traci Earhart
- Title
- Owner/Ceo and Doula/CLC
- Phone
- (216) 409-3935
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | |||
| Doula | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154668127 | Other | IL | TBD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | traci@backtoyousupport.com | Direct |
National Provider Directory
National Provider DirectoryNPI 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.