Jessica Holly Lichtig-Groom, DOULA

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

11885 Frond Rd
Truckee, CA 96161-2153

Phone

(530) 574-8030

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417458076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 FROND RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961612153",
            "telephone_number": "530-574-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 FROND RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961612153",
            "telephone_number": "530-574-8030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11885 Frond Rd",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961612153",
            "country_code": "US",
            "telephone_number": "530-574-8030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LICHTIG-GROOM",
        "first_name": "JESSICA",
        "middle_name": "HOLLY",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Marie Leech, PA-C
• Katja Lektorich, RN
• David Louis Lemak, M.D.
• Connor Lemos
• Roberta Lew, L.AC.
• Whitney Liehr
• Elizabeth Laura Lin, MD
• Wendy Tran Lin, PA-C
• Carol Lindsay
• Suzanne R. Lippuner, LCSW

• Doula in Truckee, CA
• Providers in Truckee, CA by specialty
• Doula in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.