Individual provider Active NPI

Evoica Renee Collins-Jackson, DVM, CERTIFIED DOULA

  • Doula
  • Baton Rouge, LA
National Provider Identifier
1972363547
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
9388 Hooper Rd
Baton Rouge, LA 70818-4432
Phone
(225) 200-9221
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X LA Primary

Addresses

Primary practice location

9388 Hooper Rd
Baton Rouge, LA 70818-4432

Mailing address

9388 Hooper Rd
Baton Rouge, LA 70818-4432
Phone (225) 200-9221

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1972363547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9388 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184432",
            "telephone_number": "225-200-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9388 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184432",
            "telephone_number": "225-200-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-JACKSON",
        "first_name": "EVOICA",
        "middle_name": "RENEE",
        "credential": "DVM, CERTIFIED DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.