RENAISSANCE CHILDBIRTH AND POSTPARTUM PROFESSIONALS LLC (NPI# 1194050591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194050591 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE CHILDBIRTH AND POSTPARTUM PROFESSIONALS LLC |
| Other Organization Name | RENAISSANCE DOULAS LLC |
| Practice Address |
4311 Ne Alberta St Portland OR 97218-1519 |
| Practice Telephone | 5034937390 |
| Mailing Telephone | 5034937390 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |
| Authorized Official Name | MRS. ERICA LYNN MATTESON (MEMBER/DOULA) |
| Authorized Official Telephone | 5034937390 |
| Authorized Official Credential | CD(DONA), PCD(DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Renaissance Doulas LLC | Doing Business As Name - Organization |
| Street Address |
4311 NE ALBERTA ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97218-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
| 1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
| 1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1366676462 | Bobbi Gabriele Kennedy | Military Health Care Provider | 6801 Ne Cornfoot Road, Portland, OR 97218 | 2009-05-05 |
| 1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
| 1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
| Find all providers in zip 97218 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on RENAISSANCE CHILDBIRTH AND POSTPARTUM PROFESSIONALS LLC.
| 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.