Active NPI
Jessica Ibarra
- Doula
- Lombard, IL
National Provider Identifier
1245075738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 2N170 Fairfield Ave
Lombard, IL 60148-1340 - Phone
- (312) 210-2656
- NPI assigned
- Jun 27, 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 | Primary |
Addresses
Primary practice location
2N170 Fairfield Ave
Lombard, IL 60148-1340
Mailing address
1879 N Neltnor Blvd Unit 238
West Chicago, IL 60185-5932
Phone (312) 210-2656
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": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1245075738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 N NELTNOR BLVD UNIT 238",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601855932",
"telephone_number": "312-210-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2N170 FAIRFIELD AVE",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601481340",
"telephone_number": "312-210-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.