Active NPI
Sacral Bloom Wellness
- Doula
- Jacksonville, FL
National Provider Identifier
1962353516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- SACRAL BLOOM WELLNESS
- Practice address
- 1504 Perry St Apt 103
Jacksonville, FL 32206-4335 - Phone
- (904) 323-1267
- NPI assigned
- Feb 9, 2026
- 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
- Marjorie Boyd
- Title
- Owner
- Phone
- (904) 323-1267
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1504 Perry St Apt 103
Jacksonville, FL 32206-4335
Mailing address
1504 Perry St Apt 103
Jacksonville, FL 32206-4335
Phone (904) 323-1267
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1962353516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 PERRY ST APT 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064335",
"telephone_number": "904-323-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 PERRY ST APT 103",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064335",
"telephone_number": "904-323-1267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACRAL BLOOM WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-08",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "MARJORIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-323-1267"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.