Individual provider Active NPI

Janet Ann Iacobucci, CPD, CLC

  • Doula
  • Cranston, RI
National Provider Identifier
1184352148
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
35 Normandy Dr
Cranston, RI 02920-3113
Phone
(401) 837-8564
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 201208 RI
Doula 374J00000X RI Primary

Addresses

Primary practice location

35 Normandy Dr
Cranston, RI 02920-3113

Mailing address

35 Normandy Dr
Cranston, RI 02920-3113
Phone (401) 837-8564

Other names 1

  • Jan Ann Iacobucci Professional name

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

State licenses

LicenseStateTypeSpecialty
201208RIMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1184352148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NORMANDY DR",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203113",
            "telephone_number": "401-837-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NORMANDY DR",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203113",
            "telephone_number": "401-837-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOBUCCI",
        "first_name": "JANET",
        "middle_name": "ANN",
        "credential": "CPD, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "RI",
            "license": "201208",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "IACOBUCCI",
            "middle_name": "ANN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.