MEDICARE: ROOTED IN BIRTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1164371860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTED IN BIRTH LLC

Provider Business Mailing Address
First Line	:	8271 WOODDY RD
Second Line	:
City	:	PORT TOBACCO
State	:	MD
Zip	:	20677-3110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	712 H ST NE UNIT 936
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3627
Country	:	US
Telephone Number	:	703-283-5317
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANAEE WALKER
Credential	:
Telephone Number	:	703-283-5317

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ROOTED IN BIRTH LLC ” Practice Location

Language	Start Address	Practice Location

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