Jacquelyn A Thompson Carlos, CD(DONA)

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

300 Piermont Ave Apt 3G
Nyack, NY 10960-4654

Phone

(551) 497-3488

NPI assigned

Apr 18, 2013

Last updated

Dec 28, 2022By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• The Ivory Doulas

  dba Ivory Tears

  • Doula
  • Piermont, NY
  • NPI 1770323917
  NPD

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1871937094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PIERMONT AVE APT 3G",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604654",
            "telephone_number": "551-497-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PIERMONT AVE APT 3G",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604654",
            "telephone_number": "551-497-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON CARLOS",
        "first_name": "JACQUELYN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0771643",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Telem, CRNP
• Elza Eliza Tenorio Altvater-Conn, RD, RDN
• Jennifer Marie Terranova, MA OTR/L
• Therapeutic Solutions LTD
• Anthony Adrian Thomas, M.A., L.M.H.C.
• Jane Thompson Willgren, M.ED., M.A., LMHC
• Marilyn Thompson, MFT - LP
• Beth Timperi
• Abigail Todras, LMSW
• Noreen Elizabeth Toolan, MSPT

• Doula in Nyack, NY
• Providers in Nyack, NY by specialty
• Doula in New York

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