The Suggah Shack Healing Farm & Market, LLC

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

THE SUGGAH SHACK HEALING FARM & MARKET, LLC

Doing business as

Suggah Shack Midwifery

Practice address

19496 Raoul Rd
Iowa, LA 70647-6716

Phone

(415) 244-7901

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

THE SUGGAH SHACK HEALING FARM & MARKET, LLCAs reported in NPPES

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

Authorized official

Name

Jayvon Muhammad, L.M., C.P.M.

Title

Owner

Phone

(415) 244-7901

Specialties & licenses 1

Addresses

Other names 1

• Suggah Shack Midwifery Doing business as

Part of

The Suggah Shack Healing Farm Market LLC

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1497594063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19496 RAOUL RD",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706476716",
            "telephone_number": "415-244-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19496 RAOUL RD",
            "city": "IOWA",
            "state": "LA",
            "postal_code": "706476716",
            "telephone_number": "415-244-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SUGGAH SHACK HEALING FARM & MARKET, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SUGGAH SHACK HEALING FARM & MARKET, LLC",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "JAYVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-244-7901",
        "authorized_official_credential": "L.M., C.P.M."
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suggah Shack Midwifery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Midwife in Iowa, LA
• Providers in Iowa, LA by specialty
• Midwife in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.