✓ Licensed & Credentialed Doula (374J00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

SANDARETTA DAVIS (NPI #1568271104)

Doula • OVERLAND, MO • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1568271104
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
374J00000X
Licensed & Credentialed Doula
Box 32 Service Location & ZIP+4
10300 NIBLIC DR, OVERLAND, MO, 63114-2245
✓ 9-Digit EDI 837 ZIP+4 (63114-2245)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1568271104 (SANDARETTA DAVIS) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1568271104 (NPI-1 Individual Practitioner)
Provider / Legal NameSANDARETTA DAVIS
Plain-English SpecialtyLicensed & Credentialed Doula
NUCC Code: 374J00000X (Doula)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address10300 NIBLIC DR, OVERLAND, MO, 63114-2245
Practice Telephone / FaxTel: (314) 322-6026
Administrative Mailing Address10300 NIBLIC DR, OVERLAND, MO, 63114-2245
Enumeration & Last SyncEnumerated: 2025-01-07 | CMS Record Updated: 2026-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

10300 NIBLIC DR, OVERLAND, MO, 63114-2245

🗺️ Open in Google Maps 🏥 More Providers in OVERLAND

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 (SANDARETTA DAVIS)

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 DescriptionState License & Primary Status
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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