Individual provider Active NPI

Jennifer Joyce Woodhead, CD(DONA)

  • Doula
  • Locust Grove, VA
National Provider Identifier
1235617895
Registry record updated Aug 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
12887 Issued in VA
Practice address
32261 Deep Meadow LN
Locust Grove, VA 22508-2953
Phone
(540) 907-7892
Fax
(540) 854-6462
NPI assigned
Aug 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 12887 VA Primary

Addresses

Primary practice location

32261 Deep Meadow LN
Locust Grove, VA 22508-2953

Mailing address

32261 Deep Meadow LN
Locust Grove, VA 22508-2953
Phone (540) 907-7892

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
12887VAMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1533427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533427200000",
    "number": "1235617895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32261 DEEP MEADOW LN",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082953",
            "telephone_number": "540-907-7892",
            "fax_number": "540-854-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32261 DEEP MEADOW LN",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225082953",
            "telephone_number": "540-907-7892",
            "fax_number": "540-854-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHEAD",
        "first_name": "JENNIFER",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-05",
        "last_updated": "2018-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "VA",
            "license": "12887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; 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.