Shanna Rae Jeffries

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

9041 Bay Shore Dr
Gladstone, MI 49837-2714

Phone

(906) 553-3333

NPI assigned

Mar 6, 2023

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Mar 6, 2023.

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1144920554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 BAY SHORE DR",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498372714",
            "telephone_number": "906-553-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 BAY SHORE DR",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498372714",
            "telephone_number": "906-553-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "SHANNA",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Grabowski
• Ned James Hall, R.PH.
• Daniel John Howes, P.T.
• Iron Mountain Vamc
• Dawn Marie Jarvey, REGISTERED NURSE
• Patrick Dean Johnson, D.C.
• G. Scott Kelly, DDS
• Erica Klope, MS, LAT, OTC
• Nichole Krueger
• Leah Lindahl

• All providers in Gladstone, MI
• Doula in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.