The Blue Door Infant and Maternal Wellness LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

THE BLUE DOOR INFANT AND MATERNAL WELLNESS LLC

Practice address

3030 Starkey Blvd Ste 272
New Port Richey, FL 34655-2175

Phone

(330) 445-9006

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Hudson, MA, CCC-SLP, IBCLC

Title

Speech Language Pathologist

Phone

(339) 445-9006

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1992569040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19103 BECKETT DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562266",
            "telephone_number": "330-445-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 STARKEY BLVD STE 272",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346552175",
            "telephone_number": "330-445-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLUE DOOR INFANT AND MATERNAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "339-445-9006",
        "authorized_official_credential": "MA, CCC-SLP, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124806740",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.