Mystique Hargrove, MS, CFSD, CBS, CBE

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

12753 Daylight TRL
Jacksonville, FL 32218-8034

Phone

(904) 510-4287

NPI assigned

Oct 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1417674656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12753 DAYLIGHT TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188034",
            "telephone_number": "404-901-3638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12753 DAYLIGHT TRL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188034",
            "telephone_number": "904-510-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "MYSTIQUE",
        "credential": "MS, CFSD, CBS, CBE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zena Lehmann Hardy, PHARM.D.
• Ryan Hare, MD
• Cheryl E Harewood Belgrave, MS, LMHC
• John Blade Hargiss, MD
• Michele St Martin Hargreaves, MD
• Shawniqua Elaine Hargrove, RBT
• Sumeela Hariharan, MD
• Charles Lee Harkness, D.O.
• Jessica Loras Harkness, MS, CCC-SLP
• Lisa Harkness

• Doula in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Doula in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.