Active NPI
Mother of Life Doula
- Doula
- Washington, DC
National Provider Identifier
1972322758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- MOTHER OF LIFE DOULA
- Practice address
- 324 17TH St NE
Washington, DC 20002-6618 - Phone
- (202) 607-9765
- NPI assigned
- Oct 8, 2024
- Last updated
- Oct 8, 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
- Miss Bonita Tiffany Wall
- Title
- Ceo
- Phone
- (202) 607-9765
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
324 17TH St NE
Washington, DC 20002-6618
Mailing address
324 17TH St NE
Washington, DC 20002-6618
Phone (202) 607-9765
Other names 1
- Mother Of Life Doula
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, and the practitioner matching its NPPES authorized official.
-
- Doula
- Washington, DC
- NPI 1366156747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1972322758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 17TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200026618",
"telephone_number": "202-607-9765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 17TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200026618",
"telephone_number": "202-607-9765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTHER OF LIFE DOULA",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A",
"authorized_official_last_name": "WALL",
"authorized_official_first_name": "BONITA",
"authorized_official_middle_name": "TIFFANY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "202-607-9765",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mother Of Life Doula",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.