Active NPIIndividual providerSole proprietor

Shade Jordan

Doula in Dorchester, Massachusetts

NPI Number1114855202
Practice location
31 Everton St, Dorchester, MA 02121-3506
Fax
—
Last updated
May 11, 2026

Shade Jordan is a Doula based in Dorchester, MA. Shade Jordan practices in Dorchester, MA. The NPI Number for Shade Jordan is 1114855202. The current practice location address for Shade Jordan is 31 Everton St, Dorchester, MA 02121-3506 and can be reached out via phone at 857-800-6328.

Provider Profile Details

NPI Number
1114855202
Provider Name
Shade Jordan
Provider Entity Type
Individual
Gender
Female
Address
31 Everton St, Dorchester, MA 02121-3506
Phone Number
857-800-6328
Primary Taxonomy
Doula · 374J00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2026
Last Update Date
May 11, 2026
Certification Date
May 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Everton St
Dorchester, MA 02121-3506
Zip
02121-3506
Phone Number
857-800-6328
Dorchester, MA 02121Get directions →

Provider Business Mailing Address Details

Address
31 Everton St
Dorchester, MA 02121-3506
City
Dorchester
State
MA
Zip
02121-3506
Phone Number
857-800-6328

License Information

License State
MA
Taxonomy
Doula · 374J00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shade Jordan?

The NPI number of Shade Jordan is 1114855202. It was assigned on May 11, 2026 and is currently active in the NPPES registry.

What is the specialty of Shade Jordan?

Shade Jordan is registered under the primary taxonomy Doula (code 374J00000X).

Where does Shade Jordan practice?

The practice location is 31 Everton St, Dorchester, MA 02121-3506. The office can be reached at 857-800-6328 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114855202 directly on the NPPES registry website.

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