Individual provider Active NPI

Jaelin Stickels

  • Advanced Practice Midwife
  • Spring, TX
National Provider Identifier
1932506656
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP126970 Issued in TX
Practice address
26614 Oak Ridge Dr
Spring, TX 77380-1969
Phone
(281) 296-2333
NPI assigned
Nov 24, 2014
Last updated
Nov 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP126970 TX Primary

Addresses

Primary practice location

26614 Oak Ridge Dr
Spring, TX 77380-1969

Mailing address

101 S Timber Top Dr
The Woodlands, TX 77380-0960
Phone (281) 770-9323

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

State licenses

LicenseStateTypeSpecialty
AP126970TXMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1932506656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S TIMBER TOP DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773800960",
            "telephone_number": "281-770-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26614 OAK RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801969",
            "telephone_number": "281-296-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKELS",
        "first_name": "JAELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP126970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.