Healthcare Provider Details

I. General information

NPI: 1326869959
Provider Name (Legal Business Name): DESTINY DANIELS-ROGERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DESTINY BENSON

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2485 JOI AVE
COLUMBUS OH
43219-1340
US

IV. Provider business mailing address

2485 JOI AVE
COLUMBUS OH
43219-1340
US

V. Phone/Fax

Practice location:
  • Phone: 614-928-7303
  • Fax:
Mailing address:
  • Phone: 614-928-7303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: