Active NPI
Kim Ferguson, CERT BIRTH DOULA
- Doula
- Saint Joseph, MI
National Provider Identifier
1942609334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 00020142
- Practice address
- 2820 Niles Rd
Saint Joseph, MI 49085-3338 - Phone
- (269) 208-7823
- NPI assigned
- Aug 21, 2014
- 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 | 00020142 | MI | Primary |
Addresses
Primary practice location
2820 Niles Rd
Saint Joseph, MI 49085-3338
Mailing address
2820 Niles Rd
Saint Joseph, MI 49085-3338
Phone (269) 208-7823
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 |
|---|---|---|---|
| 00020142 | MI | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1942609334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 NILES RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490853338",
"telephone_number": "269-208-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 NILES RD",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490853338",
"telephone_number": "269-208-7823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "KIM",
"credential": "CERT BIRTH DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MI",
"license": "00020142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.