Jade D Rodriguez
Individual provider Active NPI Doula · O Brien, FL
NPI 1245967744 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1245967744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 20477 119TH Dr
O Brien, FL 32071-2414 - Phone
- (863) 228-1350
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
20477 119TH Dr
O Brien, FL 32071-2414
Mailing address
20477 119TH Dr
O Brien, FL 32071-2414
Phone (863) 228-1350
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://www.tealhousebirth.com | Other |
Other providers in O Brien, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.