Cassaundra Renea Jah, PHD, LM, CPM, IBCLC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

176 Pinon TRL
Cedar Crest, NM 87008-9457

Phone

(505) 407-4378

NPI assigned

Oct 18, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1982914487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7708 LAZY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571414",
            "telephone_number": "808-283-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 PINON TRL",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089457",
            "telephone_number": "505-407-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAH",
        "first_name": "CASSAUNDRA",
        "middle_name": "RENEA",
        "name_prefix": "Dr.",
        "credential": "PHD, LM, CPM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NM",
            "license": "11065708",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NM",
            "license": "10076R",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31781349",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Joe Guevara, MED, LMHC
• Dana Marie Hanna, MSW, LSAA
• Nadia K Heffner
• Roddy Henrie
• John Randolph Hutchins III, DC
• Justin Andrew Kan, MD
• Monique Y Keulen-Nolet, FNP RN MSN
• Tammie C Kiddy-Knight, MSW
• Callie Knapp, LCSW
• Courtney Kolb

• Advanced Practice Midwife in Cedar Crest, NM
• Providers in Cedar Crest, NM by specialty
• Advanced Practice Midwife in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.