Active NPI
Crystal La'Nae Jackson
- Doula
- Mayfield Heights, OH
National Provider Identifier
1245026384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- DOU.000128
- Practice address
- 6511 Marsol Rd Apt 214
Mayfield Heights, OH 44124-3544 - Phone
- (216) 358-4935
- NPI assigned
- Apr 16, 2025
- 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 | DOU.000128 | OH | Primary |
Addresses
Primary practice location
6511 Marsol Rd Apt 214
Mayfield Heights, OH 44124-3544
Mailing address
6511 Marsol Rd Apt 214
Mayfield Heights, OH 44124-3544
Phone (216) 358-4935
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 |
|---|---|---|---|
| DOU.000128 | OH | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1245026384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6511 MARSOL RD APT 214",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441243544",
"telephone_number": "216-358-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6511 MARSOL RD APT 214",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441243544",
"telephone_number": "216-358-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CRYSTAL",
"middle_name": "LA'NAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-16",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "OH",
"license": "DOU.000128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.