Individual provider Active NPI

Valerie A. Jacques, RN, CPM, NHCM

  • Advanced Practice Midwife
  • Stratham, NH
National Provider Identifier
1891853198
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
015158-21 Issued in NH
Practice address
13 Frying Pan LN
Stratham, NH 03885-2506
Phone
(603) 580-2327
Fax
(603) 580-2326
NPI assigned
Dec 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 015158-21 NH Primary
Lay Midwife 175M00000X 1009 NH

Addresses

Primary practice location

13 Frying Pan LN
Stratham, NH 03885-2506

Mailing address

13 Frying Pan LN
Stratham, NH 03885-2506
Phone (603) 580-2327

Other identifiers 1

IdentifierTypeStateIssuer
30462658MedicaidNH

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1009NHMDOptometrist
015158-21NHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Birth Retreat, LLC Midwife, Lay Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891853198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FRYING PAN LN",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852506",
            "telephone_number": "603-580-2327",
            "fax_number": "603-580-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 FRYING PAN LN",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852506",
            "telephone_number": "603-580-2327",
            "fax_number": "603-580-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "VALERIE",
        "middle_name": "A.",
        "credential": "RN, CPM, NHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "015158-21",
            "primary": true
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": "NH",
            "license": "1009",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30462658",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.