Jasmine Rose Bullock Wicks, CD(DONA)

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

5486 Loeta Way
Fairbanks, AK 99712-3531

Phone

(228) 547-8690

NPI assigned

Feb 22, 2023

Last updated

Feb 22, 2023By 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

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1083312615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5486 LOETA WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997123531",
            "telephone_number": "228-547-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 LOETA WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997123531",
            "telephone_number": "228-547-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "JASMINE",
        "middle_name": "ROSE BULLOCK",
        "credential": "CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Whitley
• Carolyn Ann Whitlock
• Cean Whitmarsh, LMT
• Herbert Whitted
• Mishaela Siree Whittier, D.O.
• Kimberlynn Wicks
• Jonathan Widman
• Megan Wiegand, PHARMD
• Shannon Wiegand, MD
• Jennifer Kay Wieland

• Doula in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Doula in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.