Active NPI
Shadae Jenkins
- Doula
- Hartford, CT
National Provider Identifier
1700340080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 235 Collins St Apt 3B
Hartford, CT 06105-1536 - Phone
- (860) 814-8601
- NPI assigned
- Jan 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | CT | Primary |
Addresses
Primary practice location
235 Collins St Apt 3B
Hartford, CT 06105-1536
Mailing address
235 Collins St Apt 3B
Hartford, CT 06105-1536
Phone (860) 814-8601
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": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1700340080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 COLLINS ST APT 3B",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051536",
"telephone_number": "860-814-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 COLLINS ST APT 3B",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051536",
"telephone_number": "860-814-8601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "SHADAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.