Active NPI
Jessica Thomas, CPD
- Doula
- Portland, ME
National Provider Identifier
1982192571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 9-201621
- Practice address
- 619 Brighton Ave #101
Rosemont Wellness Center
Portland, ME 04102 - Phone
- (207) 558-2229
- NPI assigned
- Apr 29, 2018
- 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 | 9-201621 | GA | Primary |
Addresses
Primary practice location
619 Brighton Ave #101
Rosemont Wellness Center
Portland, ME 04102
Mailing address
PO Box 23
Portland, ME 04112-0023
Phone (207) 558-2229
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 |
|---|---|---|---|
| 9-201621 | GA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1982192571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041120023",
"telephone_number": "207-558-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 BRIGHTON AVE #101",
"address_2": "ROSEMONT WELLNESS CENTER",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04102",
"telephone_number": "207-558-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JESSICA",
"credential": "CPD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-29",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "GA",
"license": "9-201621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.