Jacqueise Yates

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1103 Sussex Dr
Forney, TX 75126-6535

Phone

(219) 577-6073

NPI assigned

Feb 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacque Yates Other name

Electronic endpoints 1

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": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1659027738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 SUSSEX DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266535",
            "telephone_number": "219-577-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 SUSSEX DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266535",
            "telephone_number": "219-577-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JACQUEISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@maternalmission.com",
            "affiliation": "N",
            "address_1": "1103 Sussex Dr",
            "city": "Forney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751266535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUE",
            "last_name": "YATES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Randi Michelle Wright, LCSW
• Alexandra Wyatt, LM, CPM
• Wyndham Music Solutions, Inc.
• Tiffany Wyndham, MT-BC
• Nijma Yaaqub
• Lara D Yates, LCSW
• Megan Yeakley, MS
• Andrew Young, PHARMD
• Megan Rebecca Young, LCSW-S
• Saad Youssif, DDS

• Doula in Forney, TX
• Providers in Forney, TX by specialty
• Doula in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.