Pilar Emani Jackson, ICBD, ICEA CERTIFIED

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

50 Manchester Rd
Eastampton, NJ 08060-4300

Phone

(864) 382-6134

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1124619960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MANCHESTER RD",
            "city": "EASTAMPTON",
            "state": "NJ",
            "postal_code": "080604300",
            "telephone_number": "864-382-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MANCHESTER RD",
            "city": "EASTAMPTON",
            "state": "NJ",
            "postal_code": "080604300",
            "telephone_number": "864-382-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "PILAR",
        "middle_name": "EMANI",
        "credential": "ICBD, ICEA CERTIFIED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PillarOfFaithDoulaServices",
            "affiliation": "N",
            "endpointDescription": "Doula Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 Manchester Rd",
            "city": "Eastampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080604300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carla Lee Fynan, R.D.
• Miranda Kaleigh Gable
• Mary Hill
• Hope Family Therapy and Consultation Services, LLC
• Tyler Hullings
• Tina Jackson, LPN
• Judith Eileen Koza, M.A.,CCC-SLP
• Lauren Ann Lodge
• Giana Denise Lutz
• Makeup by Dwoodz LLC

• Doula in Eastampton, NJ
• Providers in Eastampton, NJ by specialty
• Doula in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.