{
"Npi": {
"NPI": "1740148345",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROOT & REMEDY DOULA SERVICES, L.L.C",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3186 LUPTON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LUPTON",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48635-9612",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "989-685-0413",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3186 LUPTON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LUPTON",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48635-9612",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "989-685-0413",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/12/2026",
"LastUpdateDate": "01/12/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARCLAY",
"AuthorizedOfficialFirstName": "DEIDRA",
"AuthorizedOfficialMiddleName": "MAE",
"AuthorizedOfficialTitle": "BSN, RN FOUNDER / MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BARCLAY",
"AuthorizedOfficialTelephoneNumber": "989-685-0413",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "251B00000X",
"TaxonomyName": "Case Management Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "251K00000X",
"TaxonomyName": "Public Health or Welfare Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "374J00000X",
"TaxonomyName": "Doula",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}