Active NPI
Jannie M Credle, BIRTH DOULA
- Doula
- Suffolk, VA
National Provider Identifier
1194469445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- JCR-105374
- Practice address
- 300 Turnstone Dr
Suffolk, VA 23435-3721 - Phone
- (757) 774-7858
- NPI assigned
- Apr 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | JCR-105374 | VA | Primary |
Addresses
Primary practice location
300 Turnstone Dr
Suffolk, VA 23435-3721
Mailing address
300 Turnstone Dr
Suffolk, VA 23435-3721
Phone (757) 774-7858
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
| License | State | Type | Specialty |
|---|---|---|---|
| JCR-105374 | VA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1194469445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TURNSTONE DR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353721",
"telephone_number": "757-774-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TURNSTONE DR",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234353721",
"telephone_number": "757-774-7858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREDLE",
"first_name": "JANNIE",
"middle_name": "M",
"credential": "BIRTH DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "VA",
"license": "JCR-105374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.