Individual provider Active NPI

Jenny Rebecca Swiecicki, DOULA

  • Doula
  • Wixom, MI
National Provider Identifier
1336915784
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
29445 Beck Rd Ste A105
Wixom, MI 48393-2880
Phone
(510) 839-9252
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X Primary

Addresses

Primary practice location

29445 Beck Rd Ste A105
Wixom, MI 48393-2880

Mailing address

29445 Beck Rd Ste A105
Wixom, MI 48393-2880
Phone (510) 839-9252

Other practice location 1

3031 W Grand Blvd Ste 800
Detroit, MI 48202-3141
Phone (313) 916-9684

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

Interoperability endpoints

  • Direct secure messaging: jswiecicki909821@direct.hfhs.org

NPI Registry JSON

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1336915784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29445 BECK RD STE A105",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932880",
            "telephone_number": "510-839-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29445 BECK RD STE A105",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932880",
            "telephone_number": "510-839-9252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 W Grand Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023141",
            "country_code": "US",
            "telephone_number": "313-916-9684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIECICKI",
        "first_name": "JENNY",
        "middle_name": "REBECCA",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

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

Verify at the official NPI Registry.