Jasmin Suzanne Sun Kanevski, MBA, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

99300 Issued in TX

Practice address

337 Travis Rd
Decatur, TX 76234-4945

Phone

(682) 365-4448

Fax

(682) 842-1027

NPI assigned

Aug 7, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kueo Birth Center, PLLC

  • Birthing Clinic/Center
  • Decatur, TX
  • NPI 1851860928
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1871018259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 TRAVIS RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344945",
            "telephone_number": "682-365-4488",
            "fax_number": "682-842-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 TRAVIS RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762344945",
            "telephone_number": "682-365-4448",
            "fax_number": "682-842-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEVSKI",
        "first_name": "JASMIN",
        "middle_name": "SUZANNE SUN",
        "credential": "MBA, LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "99300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Danielle Jones, APRN
• Joshua Seth Jones, PT, DPT
• Kelly Suzanne Jones, LCSW
• Shirley Jean Jordan, PH.D.
• Kad Ophthalmology PLLC
• Smile Preet Kaur
• Ronald Herman Kautz, O.D.
• Douglas Luke Kehres, MD
• Mary Kathryn Kennedy, CRNA
• Michelle S Khoo, MD

• Midwife in Decatur, TX
• Providers in Decatur, TX by specialty
• Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.