Organization Active NPI

Mother of Life Doula

  • Doula
  • Washington, DC
National Provider Identifier
1972322758
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Miss Bonita Tiffany WallNPI 1366156747
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)CodeLicenseStatePrimary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.