SHANTAE RAE JOHNSON (NPI# 1437468469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437468469 |
| Entity Type | Individual |
| Full Name | SHANTAE RAE JOHNSON |
| Credential | DOULA |
| Practice Address |
2971 Se 92nd Ave Portland OR 97266-1429 |
| Mailing Address |
2971 Se 92nd Avenue Portland OR 97266 |
| Practice Telephone | 5034773187 |
| Mailing Telephone | 5034773187 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | OR | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304646 | Shantae Renee Johnson | Driver | 560 Big Sioux Ct, Poinciana, FL 34759-5927 | 2019-09-10 |
| 1750872487 | Shantae Johnson | Nurse Practitioner | 4441 Capital Ave Sw, Battle Creek, MI 49015-9359 | 2018-05-30 |
| 1417406752 | Shantae Monae Johnson | Nurse Practitioner | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2016-09-28 |
| 1467812560 | Shantae Johnson | Counselor | 1500 Lafayette St, Ste 150, Gretna, LA 70053-5799 | 2016-03-02 |
| Street Address |
2971 SE 92ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| 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 |
|---|---|---|---|---|
| 1427659671 | Lindsay Marie Thomas | Doula | 4503 Se 66th Ave, Portland, OR 97206-4501 | 2020-11-04 |
| 1467052084 | Jenessa Garrett | Doula | 1515 Sw Montgomery St, Portland, OR 97201-2558 | 2020-11-01 |
| 1699374926 | Jessica Ford | Doula | 3652 Se Stark St Apt 9, Portland, OR 97214-3161 | 2020-10-19 |
| 1669086583 | Kathryn Mathew | Doula | 2743 Ne 16th Ave, Portland, OR 97212-3307 | 2020-09-08 |
| 1609484963 | Ladonna Marie Smith | Doula | 6224 N Astor St, Portland, OR 97203-1302 | 2020-07-22 |
| 1609494913 | Krystle Gard | Doula | 15888 Sw Sundew Dr, Portland, OR 97223-2694 | 2020-07-13 |
| 1972121663 | Molly Mcart | Doula | 7727 Se 21st Ave, Portland, OR 97202-6229 | 2020-07-08 |
| 1396362877 | Isis Armendariz | Doula | 5143 Se 17th Ave, Portland, OR 97202-4807 | 2020-06-30 |
| 1932725892 | Elizabeth Ann Haebe | Doula | 2240 Ne Wasco St, Portland, OR 97232-1621 | 2020-06-17 |
| 1558995431 | Catherine Lorraine Minor | Doula | 4623 Se River Dr, Portland, OR 97267-6806 | 2020-02-28 |
| Find all providers in PORTLAND | ||||
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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.