NavigateCONNECT Provider Application

Provider Application

Join NavigateCONNECT

Navigate Maternity's network of doulas and lactation consultants — connecting you with families who need your care, and handling the referrals, billing, and admin so you can focus on the work you love.

We built NavigateCONNECT because moms deserve more birth and feeding support — and providers like you deserve a steady stream of referrals without the overhead of finding them yourself. This application takes about 10 minutes. We'll follow up within 5 business days.

If approved, you'll join Navigate Maternity's provider network as an independent contractor (1099), billing through Navigate Maternity's billing group. We handle payer credentialing, claims, and admin — you focus on caring for families.

1 We review your certifications, documents, and coverage area
2 We'll send you a link to schedule a 20-minute interview
3 If accepted, we'll set you up with software access and training, and start sending you referrals

Step 1 of 7

Contact information

How should we reach you?

Full name*

Email address*

Phone number*

City*

State*

Preferred contact method

Email Phone Text

Step 2 of 7

Professional background

Tell us about your practice.

Which best describes you?*

Doula IBCLC Lactation Consultant Other

Select both if you hold credentials in both areas.

Please describe

Years of experience*

NPI number

If you have one — not required to apply.

Clinical license (if any)

Pairing a clinical license with IBCLC certification opens additional billing pathways, including in Michigan.

Business or practice name

Step 3 of 7

Certifications

Select all that apply. Don't see yours? Add it below — we work with a range of credentialing bodies.

Lactation certification

IBCLC is required for lactation billing across our network states.

Current IBCLC certification?

Yes No In progress

IBCLC certification number

IBCLC expiration

Secondary lactation credential (if any)

Select your role on the previous step to see relevant certification fields.

Additional training

These questions apply no matter your role.

Do you have training in trauma-informed care?

Yes No In progress

Program or certifying body (optional)

Have you completed cultural competency or racial bias training?

Yes No In progress

Program or certifying body (optional)

Step 4 of 7

Coverage area & availability

We're live in Indiana and Kentucky, and expanding into Ohio, Michigan, Minnesota, and Illinois. Wherever you're located, go ahead and apply — select every state you're able to serve, and we'll keep your application on file as we grow into new markets.

Live now

Indiana Kentucky

Expanding into

Ohio Michigan Minnesota Illinois

Other coverage

TRICARE East (virtual care, military families) Somewhere else

TRICARE East support through Navigate is fully virtual, so you can serve those families from wherever you're located.

Where are you located?

How do you want to provide care?*

This helps us match you with the right referrals.

Virtual only In-person / present at birth Both

Availability*

Full-time Part-time As-needed

Approximate hours per week you can take on

Do you currently hold professional liability (malpractice) insurance?

Yes No

Insurance carrier

Step 5 of 7

Credentials & documents

Upload copies of your credentials so we can move quickly on review. Accepted formats: PDF, JPG, PNG.

Government-issued photo ID* Tap to upload or drag a file here

Resume / CV* Tap to upload or drag a file here

Primary certification document*

Your doula and/or IBCLC certificate, whichever applies.

Tap to upload or drag a file here

Malpractice insurance certificate Tap to upload or drag a file here

W-9

Needed since you'll bill through Navigate Maternity's billing group as a 1099 contractor. You can also complete this during onboarding if that's easier.

Tap to upload or drag a file here

Step 6 of 7

References & a bit about you

Professional reference 1

Name

Phone

Relationship

Professional reference 2

Name

Phone

Relationship

Tell us a little about why you want to join NavigateCONNECT

Step 7 of 7

Review your application

Take a look before you submit. You can jump back to any section to make changes.

Join NavigateCONNECT

Contact information

Professional background

Certifications

Coverage area & availability

Credentials & documents

References & a bit about you

Review your application

You're in the queue!