MRS. STACEY ANN SCARBOROUGH (NPI# 1104138569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104138569 |
| Entity Type | Individual |
| Full Name | MRS. STACEY ANN SCARBOROUGH |
| Credential | CCE, CD(DONA), CLE |
| Practice Address |
4794 Winona Ave San Diego CA 92115-2004 |
| Practice Telephone | 6195831129 |
| Practice Fax Number | 6195831129 |
| Mailing Telephone | 6195831129 |
| Mailing Fax Number | 6195831129 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSING SERVICES RELATED PROVIDER | 374J00000X | 01 |
| Street Address |
4794 WINONA AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92115-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313922 | Mayra Ailed Bugarin | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center 5454, El Cajon Blvd, San Diego, CA 92115 | 2020-04-01 |
| 1093369878 | Chang Liu | Counselor | 3539 College Avenue, San Diego, CA 92115 | 2019-07-30 |
| 1689238560 | Donia Ahadian | Student in an Organized Health Care Education/Training Program | City Heights Family Health Center, 5454 El Cajon Blvd, San Diego, CA 92115 | 2019-04-26 |
| 1780157859 | James Michael Sites | Military Health Care Provider | Uss Shoup Ddg 86, San Diego, CA 92115 | 2019-01-10 |
| 1780163006 | Marcos Luis Sandoval | Case Manager/Care Coordinator | 6224 El Cajon Blvd, Suite 17, San Diego, CA 92115 | 2018-08-08 |
| 1437651981 | Phyllis Lynette Pryor | Licensed Vocational Nurse | 4974 El Cajon Blvd Suite A, San Diego, CA 92115 | 2018-03-01 |
| 1982125605 | Ellen Medical Transport | Non-emergency Medical Transport (VAN) | 4587 Winona Ave #5, San Diego, CA 92115 | 2017-07-03 |
| 1992225296 | P'okot LLC | Non-emergency Medical Transport (VAN) | 5511 Adelaide Ave, 26, San Diego, CA 92115 | 2017-06-27 |
| 1578019840 | Alfred Zygmunt Nowak | Specialist/Technologist | 6663 Reservoir Ln, San Diego, CA 92115 | 2016-08-28 |
| 1639534183 | Kalkaal Financial Enterprise, LLC. | Non-emergency Medical Transport (VAN) | 5055 Collwood Blvd., Unit 108, San Diego, CA 92115 | 2015-12-29 |
| Find all providers in zip 92115 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776002 | Emily Stocking | Doula | 1061 Emerald St Apt F, San Diego, CA 92109-2893 | 2020-06-30 |
| 1588294938 | Jennifer Lynn Smith | Doula | 7291 Enders Ave, San Diego, CA 92122-2808 | 2020-01-23 |
| 1629610589 | Allison Renee Vanos Hervey | Doula | 4685 Pescadero Ave, San Diego, CA 92107-3538 | 2019-10-11 |
| 1548776537 | Kathleen P Jordan | Doula | 806 Banneker Dr, San Diego, CA 92114-4705 | 2017-12-28 |
| 1588189286 | Angelcare | Doula | 3711 Billman St, San Diego, CA 92115-7006 | 2017-08-03 |
| 1518314632 | Jessica Goodman | Doula | 3055 Taussig St, San Diego, CA 92124-3660 | 2016-05-18 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1134582232 | Sarah Wynne | Doula | 10157 Maddox Dr, San Diego, CA 92124-2920 | 2016-04-05 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1720458136 | Carrie Lynn Christianson | Doula | 4843 Niagara Ave Apt 6, San Diego, CA 92107-6106 | 2015-09-28 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.