Provider Demographics
| NPI: | 1730055948 |
|---|---|
| Name: | OCOTILLO BIRTH, LLC |
| Entity type: | Organization |
| Organization Name: | OCOTILLO BIRTH, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DOULA/LACTATION SPECIALIST |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | JULIA |
| Authorized Official - Middle Name: | ELISE |
| Authorized Official - Last Name: | DOWLING |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MS |
| Authorized Official - Phone: | 505-306-7904 |
| Mailing Address - Street 1: | 3704 BIG BEND RD NE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ALBUQUERQUE |
| Mailing Address - State: | NM |
| Mailing Address - Zip Code: | 87111-4321 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 3704 BIG BEND RD NE |
| Practice Address - Street 2: | |
| Practice Address - City: | ALBUQUERQUE |
| Practice Address - State: | NM |
| Practice Address - Zip Code: | 87111-4321 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 505-539-0792 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2025-10-14 |
| Last Update Date: | 2025-10-14 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 374J00000X | Nursing Service Related Providers | Doula | Group - Multi-Specialty | |
| No | 174N00000X | Other Service Providers | Lactation Consultant, Non-RN | Group - Multi-Specialty |