Modern Day Midwifery LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MODERN DAY MIDWIFERY LLC

Practice address

15596 Thomas Ave
Allen Park, MI 48101-1948

Phone

(734) 812-9978

NPI assigned

Jan 1, 2017

Organization subpart

No

Name

Mrs. Jamie Kristin Rekuc

Title

Birth Doula Apprentice Midwife

Phone

(734) 812-9978

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 1, 2017.

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483228800000",
    "number": "1982149894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15596 THOMAS AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011948",
            "telephone_number": "734-812-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15596 THOMAS AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011948",
            "telephone_number": "734-812-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DAY MIDWIFERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-01",
        "last_updated": "2017-01-01",
        "status": "A",
        "authorized_official_last_name": "REKUC",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "BIRTH DOULA APPRENTICE MIDWIFE",
        "authorized_official_telephone_number": "734-812-9978",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; 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.