Individual provider Active NPI

Jessica Donawald, BIRTH DOULA

  • Doula
  • Ooltewah, TN
National Provider Identifier
1891425872
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
6279 Prickly Loop
Ooltewah, TN 37363-2420
Phone
(407) 960-9522
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X FL
Doula 374J00000X TN Primary

Addresses

Primary practice location

6279 Prickly Loop
Ooltewah, TN 37363-2420

Mailing address

6279 Prickly Loop
Ooltewah, TN 37363-2420
Phone (407) 960-9522

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mamajess@mamadoula.net Health Information Exchange (HIE)

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1891425872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6279 PRICKLY LOOP",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373632420",
            "telephone_number": "407-960-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6279 PRICKLY LOOP",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373632420",
            "telephone_number": "407-960-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAWALD",
        "first_name": "JESSICA",
        "credential": "BIRTH DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mamajess@mamadoula.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6279 Prickly Loop",
            "city": "Ooltewah",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373632420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

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