JAE LLC (NPI# 1376088435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376088435 |
| Entity Type | Organization |
| Organization Name | JAE LLC |
| Other Organization Name | THE HAPPY MAMA PLACE |
| Practice Address |
512 Northhampton Street Edwardsville PA 18704 |
| Mailing Address |
827 Stockton Mountain Rd Beaver Meadows PA 18216-6505 |
| Practice Telephone | 5702129520 |
| Mailing Telephone | 5702999246 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | MS. JESSICA ANN ENRIQUEZ (DOULA/LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 5702999247 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MSG006829 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| The Happy Mama Place | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | JAE LLC | 90 Madison St Ste 610, Worcester, MA 01608 |
| Street Address |
512 NORTHHAMPTON STREET |
| City | EDWARDSVILLE |
| State | PA |
| Zip Code | 18704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| 1396880928 | Judith Janeen Johnston | Audiologist | Asby & Zeigler Associates, 403 Third Ave, Kingston, PA 18704 | 2007-02-21 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778509 | Jessica Grace Sebok | Doula | 2 Silver Oaks Ln Apt 5, Edwardsville, IL 62025-3770 | 2018-01-11 |
| 1205270550 | Shannon M Lawton-o'boyle | Doula | 1604 Lincoln Knolls Dr, Edwardsville, IL 62025-4120 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401419 | Vita Nova Birthing | Doula | 701 E Cathedral Rd # 45-202, Philadelphia, PA 19128-2128 | 2020-09-10 |
| 1598374985 | Michelle S. Washington | Doula | 527 S 9th St Apt 4, Philadelphia, PA 19147-1336 | 2020-07-30 |
| 1700401817 | Ashlee Anne Psenicka | Doula | 719 1/2 N Franklin St, Lancaster, PA 17602-2124 | 2020-06-15 |
| 1396365896 | Scihonor Devotion Bey | Doula | 1510 W Grange Avenue, Philadelphia, PA 19141-1914 | 2020-04-24 |
| 1497383269 | Leah Cate Tumbiolo | Doula | 963 Dairy Rd, Tamaqua, PA 18252-5531 | 2020-03-29 |
| 1336772334 | Amy Brickman | Doula | 1985 Huntingdon Rd, Huntingdon Valley, PA 19006-4301 | 2020-02-18 |
| 1144851031 | Kyia Rawls | Doula | 3735 Lancaster Ave, Phila, PA 19104-2334 | 2020-01-29 |
| 1730728452 | Hannah Nesspor | Doula | 16 E 4th St, Boyertown, PA 19512-1117 | 2019-12-27 |
| 1144862921 | Shantel Michelle Williams | Doula | 1891 Pratt St, Philadelphia, PA 19124-2138 | 2019-10-13 |
| 1275180044 | Tamyra Michelle Harris | Doula | 5037 Greene St, Philadelphia, PA 19144-2969 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | EDWARDSVILLE |
| Zip Code | 18704 |
Please comment or provide details below to improve the information on JAE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.