Active NPI
Jaine Krzykwa, DOULA
- Doula
- Waterford, MI
National Provider Identifier
1225856305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 941 Myrtle Ave
Waterford, MI 48328-3828 - Phone
- (248) 832-2742
- NPI assigned
- Sep 28, 2024
- 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 | MI | Primary |
Addresses
Primary practice location
941 Myrtle Ave
Waterford, MI 48328-3828
Mailing address
941 Myrtle Ave
Waterford, MI 48328-3828
Phone (248) 832-2742
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727481600000",
"number": "1225856305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 MYRTLE AVE",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283828",
"telephone_number": "248-832-2742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 MYRTLE AVE",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283828",
"telephone_number": "248-832-2742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRZYKWA",
"first_name": "JAINE",
"credential": "DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-28",
"last_updated": "2024-09-28",
"certification_date": "2024-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.