CANDICE ULLERY (NPI# 1386026078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386026078 |
| Entity Type | Individual |
| Full Name | CANDICE ULLERY |
| Credential | SBD |
| Practice Address |
416 Oglesby St Salem IL 62881-2725 |
| Practice Telephone | 6182928518 |
| Mailing Telephone | 6182928518 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2017-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | SBD20110800 | MO | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STILLBIRTHDAY | SBD20110800 | 01 |
| Street Address |
416 OGLESBY ST |
| City | SALEM |
| State | IL |
| Zip Code | 62881-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776026 | Heather Krajefska | Speech-Language Pathologist | Franklin Park School, 1325 N Franklin, Salem, IL 62881 | 2017-08-16 |
| 1629510581 | Heidi V. Thompson | Nurse Practitioner | 1250 W. Whittaker, Salem, IL 62881 | 2016-11-09 |
| 1548664170 | Catherine Durbin | Nurse Practitioner | 518 South Broadway, Salem, IL 62881 | 2014-10-10 |
| 1770718439 | Community Resource Center, Inc | Community/Behavioral Health | 315 Westgate, Salem, IL 62881 | 2009-05-26 |
| 1932377652 | Community Resource Center Inc | Clinic/Center | 315 Westgate Ave, Salem, IL 62881 | 2008-02-15 |
| 1245408053 | The Manor At Salem Woods, L.p. | Assisted Living Facility | 441 S. Hotze Rd., Salem, IL 62881 | 2008-02-14 |
| 1366610321 | Penta Group Inc. | Non-emergency Medical Transport (VAN) | 300 Schoonover Drive, Salem, IL 62881 | 2008-02-13 |
| 1326192808 | Alan D Montgomery | Optometrist | 400 North Broadway, Salem, IL 62881 | 2007-01-22 |
| 1669539979 | Knevitt Inc | Ambulance | 3340 Selmaville Rd, Salem, IL 62881 | 2007-01-03 |
| 1447314737 | Gautam Jha | Internal Medicine | 1325 W. Whittaker, Suite D, Salem, IL 62881 | 2006-12-20 |
| Find all providers in zip 62881 | ||||
| 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 |
|---|---|---|---|---|
| 1669083259 | Sarah Louise Wort | Doula | 2111 Front St Ne, Salem, OR 97301-0765 | 2020-08-16 |
| 1417356668 | Hannah Ray | Doula | 4550 Swegle Rd Ne, Salem, OR 97301-2012 | 2014-08-13 |
| 1326389081 | Kathleen Hoff | Doula | 47 Hathorne St, Salem, MA 01970-3058 | 2013-03-06 |
| 1992064083 | Cara J Watson | Doula | 1944 Hazel Ave Ne, Salem, OR 97301-0909 | 2012-05-09 |
| 1700143385 | Tania Cristina Bailey | Doula | 2090 Hazel Ave Ne, Salem, OR 97301-0911 | 2012-04-19 |
| 1639472160 | Jessie Mclean | Doula | 5343 Sundance Rd, Salem, VA 24153-5804 | 2010-12-05 |
| 1033421250 | Alvina Blaine | Doula | 920 Scepter Ct Ne, Salem, OR 97301-3194 | 2010-07-02 |
| 1750610101 | Brett Allison Mentuck | Doula | 15 Buchanan Rd, Salem, MA 01970-4412 | 2009-12-14 |
| 1811222599 | Debra Lynne Dwyer | Doula | 35 Cabot St, Salem, MA 01970-4641 | 2009-10-13 |
| 1790382018 | Leilani Rae Fidler | Doula | 1655 Capitol St Ne, Salem, OR 97301-7845 | 2020-10-08 |
| Find all providers in SALEM | ||||
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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.