Individual provider Active NPI

Milene Etienvil

  • Doula
  • Marlborough, MA
National Provider Identifier
1932925575
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
06036428 Issued in PA
Practice address
11 Apex Drive Suite
300A #210
Marlborough, MA 01752
Phone
(561) 294-6428
NPI assigned
Nov 27, 2024
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 06036428 PA Primary

Addresses

Primary practice location

11 Apex Drive Suite
300A #210
Marlborough, MA 01752

Mailing address

11 Apex Dr Ste 300a
Marlborough, MA 01752-1977

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

LicenseStateTypeSpecialty
06036428PAMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Doula, LLC Doula Current Accepting new patients

Locations

11 Apex Dr
Ste 300A
Marlborough, MA 01752
Phone (413) 323-3899

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1932925575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 APEX DR STE 300A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 APEX DRIVE SUITE",
            "address_2": "300A #210",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "561-294-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENVIL",
        "first_name": "MILENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "PA",
            "license": "06036428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.