Healthcare Provider Details

I. General information

NPI: 1730068057
Provider Name (Legal Business Name): SOPHIA EVANGELINE GUMBS CPD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 DEVEREUX ST
PROVIDENCE RI
02909-5551
US

IV. Provider business mailing address

215 OLD MEETING HOUSE RD
EAST FALMOUTH MA
02536-5239
US

V. Phone/Fax

Practice location:
  • Phone: 401-612-1272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: