Vanessa J Jesse, CIBD FSID

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

N15285 Eagle Rd
Wilson, MI 49896-9622

Phone

(906) 250-6429

NPI assigned

Sep 5, 2024

Last updated

Oct 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1053146498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N15285 EAGLE RD",
            "city": "WILSON",
            "state": "MI",
            "postal_code": "498969622",
            "telephone_number": "906-250-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N15285 EAGLE RD",
            "city": "WILSON",
            "state": "MI",
            "postal_code": "498969622",
            "telephone_number": "906-250-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSE",
        "first_name": "VANESSA",
        "middle_name": "J",
        "credential": "CIBD FSID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPHP",
            "identifier": "229993",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053146498",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannahville Health Center Pharmacy
• Hannahville Indian Community (Hannahville Behavioral Health)
• Hannahville Indian Community (Hannahville Health Center)
• Hannahville Indian Community (Hannahville Health Center Pharmacy)
• Kelli M Jackson, CBD
• Jennifer Keshick
• Lori Jean Macintosh, RN
• Mary Susanne Miller, M.A., L.L.P.
• Sally J Oliver, R.PH.
• Benjamin Richards, RN

• Doula in Wilson, MI
• Providers in Wilson, MI by specialty
• Doula in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.