Provider Demographics
NPI:1487495065
Name:NATIONAL BIRTH COALITION
Entity type:Organization
Organization Name:NATIONAL BIRTH COALITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHLANDA
Authorized Official - Middle Name:ROCHEL
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:NDTR, ADVCD(DONA)
Authorized Official - Phone:336-995-8776
Mailing Address - Street 1:1920 MORGAN TRACE DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-6821
Mailing Address - Country:US
Mailing Address - Phone:336-995-8776
Mailing Address - Fax:
Practice Address - Street 1:11 BROOKSTOWN AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27101-5206
Practice Address - Country:US
Practice Address - Phone:336-995-8776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes136A00000XDietary & Nutritional Service ProvidersDietetic Technician, RegisteredGroup - Multi-Specialty
No133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No251K00000XAgenciesPublic Health or Welfare
No253Z00000XAgenciesIn Home Supportive Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty