Active NPI
Jillian Jolley, CD(DONA)
- Doula
- Fredericksburg, IA
National Provider Identifier
1033438809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 205 S Washington Ave
Fredericksburg, IA 50630-1036 - Phone
- (801) 380-2818
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
205 S Washington Ave
Fredericksburg, IA 50630-1036
Mailing address
12760 Gillon Dr
Frisco, TX 75035-2236
Phone (801) 380-2818
Other names 1
- Dooli Jolley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1033438809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12760 GILLON DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750352236",
"telephone_number": "801-380-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S WASHINGTON AVE",
"city": "FREDERICKSBURG",
"state": "IA",
"postal_code": "506301036",
"telephone_number": "801-380-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLLEY",
"first_name": "JILLIAN",
"credential": "CD(DONA)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOOLI",
"last_name": "JOLLEY",
"credential": "CD(DONA), LCCE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fredericksburg, IA
- Fredericksburg Comm School District
- Fredericksburg Family Health Clinic
- Fredericksburg Family Health Clinic, PLLC
- Molly Barbara Hammen, LMHC
- Steven William Horak, D.C.,C.C.S.P.
- Pathways Behavioral Services Inc
- Pathways Behavioral Services Inc
- Joseph Bernard Peraud, M.D.
- Mary Sharon Peraud, M.D.
- Lacey Schmitt, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.