BENTONVILLE BIRTH SERVICES, LLC — NPI 1508620154 (Licensed & Credentialed Doula in CENTERTON, AR)

CMS-1500 Box 24J / 33a • NPI

1508620154

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

374J00000X

Licensed & Credentialed Doula

Box 32 Service Location & ZIP+4

437 W CENTERTON BLVD, CENTERTON, AR, 72719-8701

✓ 9-Digit EDI 837 ZIP+4 (72719-8701)

Practice Phone & Referral Fax

(206) 348-9786

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1508620154 (BENTONVILLE BIRTH SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1508620154` (NPI-2 Organization / Facility)
Provider / Legal Name	BENTONVILLE BIRTH SERVICES, LLC
Plain-English Specialty	Licensed & Credentialed Doula NUCC Code: `374J00000X` (Doula)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	437 W CENTERTON BLVD, CENTERTON, AR, 72719-8701
Practice Telephone / Fax	Tel: (206) 348-9786
Administrative Mailing Address	3210 LAUREL CIR, CENTERTON, AR, 72719-8823
Enumeration & Last Sync	Enumerated: 2024-02-13 \| CMS Record Updated: 2024-02-13
Authorized Official	WHITNEY HARDIE (Owner, Doula)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

437 W CENTERTON BLVD, CENTERTON, AR, 72719-8701

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Plain-English Taxonomy & CMS Crosswalk (374J00000X)

What Does Taxonomy Code 374J00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 374J00000X translates to:
"Licensed & Credentialed Doula"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Doula for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BENTONVILLE BIRTH SERVICES, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174N00000X` — Lactation Consultant, Non-RN Plain English: Licensed & Credentialed Lactation Consultant, Non-RN	State: N/A \| License: `Verified` \| Primary: Secondary
`374J00000X` — Doula Plain English: Licensed & Credentialed Doula	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BENTONVILLE BIRTH SERVICES, LLC (NPI #1508620154)