Individual provider Active NPI

Jennifer Danielle Rabins, CPM, LM

  • Midwife
  • Prescott Valley, AZ
National Provider Identifier
1194389601
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM223 Issued in AZ
Practice address
7598 E Palo Verde St
Prescott Valley, AZ 86314-3255
Phone
(928) 351-4664
Fax
(928) 351-1788
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM223 AZ Primary

Addresses

Primary practice location

7598 E Palo Verde St
Prescott Valley, AZ 86314-3255

Mailing address

7598 E Palo Verde St
Prescott Valley, AZ 86314-3255
Phone (928) 351-4664

Other names 1

  • Jennifer Danielle Jackson Former 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
LM223AZMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Beginnings Birth and Wellness Center CurrentSince Dec 10, 2023 Accepting new patients

Locations

7598 E Palo Verde St
Prescott Valley, AZ 86314
Phone (928) 351-4664

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1194389601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7598 E PALO VERDE ST",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143255",
            "telephone_number": "928-351-4664",
            "fax_number": "928-351-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7598 E PALO VERDE ST",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143255",
            "telephone_number": "928-351-4664",
            "fax_number": "928-351-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINS",
        "first_name": "JENNIFER",
        "middle_name": "DANIELLE",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JACKSON",
            "middle_name": "DANIELLE",
            "credential": "CPM, LM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.