Individual provider Active NPI

Jada I. Rush, LM CPM LMFT

  • Midwife
  • Phoenix, AZ
National Provider Identifier
1306003363
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM254 Issued in AZ
Practice address
202 W Oraibi Dr
Phoenix, AZ 85027-4772
Phone
(480) 744-6938
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35001869A IN
Midwife 176B00000X LM254 AZ Primary

Addresses

Primary practice location

202 W Oraibi Dr
Phoenix, AZ 85027-4772

Mailing address

202 W Oraibi Dr
Phoenix, AZ 85027-4772

Other names 1

  • Jada Iahrasha Davis Former name

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
35001869AINMDMarriage & Family Therapist
LM254AZMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1306003363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W ORAIBI DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W ORAIBI DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274772",
            "telephone_number": "480-744-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "JADA",
        "middle_name": "I.",
        "credential": "LM CPM LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001869A",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AZ",
            "license": "LM254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADA",
            "last_name": "DAVIS",
            "middle_name": "IAHRASHA",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.