Individual provider Active NPI

Jennifer Ann McCormick, DOULA

  • Doula
  • Rapid City, SD
National Provider Identifier
1629703350
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
10050 Pioneer Ave
Rapid City, SD 57702-4752
Phone
(308) 631-8659
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Doula 374J00000X Primary

Addresses

Primary practice location

10050 Pioneer Ave
Rapid City, SD 57702-4752

Mailing address

10050 Pioneer Ave
Rapid City, SD 57702-4752
Phone (308) 631-8659

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address birthbydesign@centurylink.net Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1629703350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 PIONEER AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024752",
            "telephone_number": "308-631-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 PIONEER AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024752",
            "telephone_number": "308-631-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "birthbydesign@centurylink.net",
            "affiliation": "N",
            "endpointDescription": "This is an email location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10050 Pioneer Ave",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577024752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.