Individual provider Active NPI

Jessica K Gray

  • Doula
  • Chester, VA
National Provider Identifier
1922698265
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
3800 Festival Park PLZ Apt 216
Chester, VA 23831-4461
Phone
(804) 212-9685
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DoulaGroup: 193400000X SINGLE SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

3800 Festival Park PLZ Apt 216
Chester, VA 23831-4461

Mailing address

14107 Elkington Dr
Chester, VA 23836-5752
Phone (804) 212-9685

Other practice location 1

14107 Elkington Dr
Chester, VA 23836-5752
Phone (804) 212-9685

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hell@jessbirthin.com

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1922698265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14107 ELKINGTON DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238365752",
            "telephone_number": "804-212-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FESTIVAL PARK PLZ APT 216",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238314461",
            "telephone_number": "804-212-9685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14107 Elkington Dr",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238365752",
            "country_code": "US",
            "telephone_number": "804-212-9685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JESSICA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hell@jessbirthin.com",
            "affiliation": "N",
            "address_1": "3800 Festival Park Plz Apt 216",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238314461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.