Jennifer Kelly, CD(DONA)

Primary specialty

DoulaTaxonomy code 374J00000X

License

14130 Issued in FL

Practice address

2942 Carriage Dr
South Daytona, FL 32119-8505

Phone

(386) 295-6036

NPI assigned

Feb 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613779200000",
    "number": "1275127219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 CARRIAGE DR",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198505",
            "telephone_number": "386-295-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 CARRIAGE DR",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321198505",
            "telephone_number": "386-295-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JENNIFER",
        "credential": "CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-02-20",
        "certification_date": "2021-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": "FL",
            "license": "14130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.meanttobebirthservices.com",
            "affiliation": "N",
            "endpointDescription": "Meant to Be Birth Services website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2942 Carriage Dr",
            "city": "South Daytona",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321198505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Jones
• Precious C Jones
• Brenda Joseph, RN
• Lukia Kalibbala
• Christopher Scott Kapelka, PTA
• Brittney Kerchief
• Asad Hamid Khan, MD
• Gohar Shamshad Khan, M.D.
• Susan Rita Kicklighter, MSW
• Kim Kling LMT

• Doula in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Doula in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2021; 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.