Individual provider Active NPI

Jacqueline Yvette Tucker, ECID

  • Doula
  • Middletown, CT
National Provider Identifier
1659238590
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
JT051068 Issued in CT
Practice address
207 George St Apt 302
Middletown, CT 06457-3595
Phone
(860) 707-7559
NPI assigned
Jan 5, 2026
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X JT051068 CT Primary

Addresses

Primary practice location

207 George St Apt 302
Middletown, CT 06457-3595

Mailing address

207 George St Apt 302
Middletown, CT 06457-3595
Phone (203) 626-1586

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": "1767571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1659238590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GEORGE ST APT 302",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573595",
            "telephone_number": "203-626-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GEORGE ST APT 302",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573595",
            "telephone_number": "860-707-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JACQUELINE",
        "middle_name": "YVETTE",
        "credential": "ECID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CT",
            "license": "JT051068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.