MS. CASSAUNDRA RENEA JAH


Address: 176 Pinon Trl, Cedar Crest, NM 87008-9457
Phone: 5054074378

MS. CASSAUNDRA RENEA JAH (NPI# 1982914487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982914487
Entity Type Individual
Full Name MS. CASSAUNDRA RENEA JAH
Credential CPM, IBCLC
Practice Address 176 Pinon Trl
Cedar Crest
NM 87008-9457
Practice Telephone 5054074378
Mailing Telephone 5054074378
Enumeration Date 2010-10-18
Last Update Date 2012-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WL0100X Registered Nurse
Specialization: Lactation Consultant
11065708 NM Nursing Service Providers
Y 176B00000X Midwife 10076R NM Other Service Providers
N 374J00000X Doula Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 31781349 05

Office Location

Street Address 176 PINON TRL
City CEDAR CREST
State NM
Zip Code 87008-9457

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861090342 Rio Grande Emdr Therapy, LLC Community/Behavioral Health 6 Sierra Vista Drive, Cedar Crest, NM 87008 2020-10-15
1487973145 Phoenix Helm Simpson Marriage & Family Therapist 10 Haven Dr., Cedar Crest, NM 87008 2010-05-20
1548404825 Amir H. Manoutchehri M.d. PC Clinic/Center 12125 State Highway 14 N., Cedar Crest, NM 87008 2009-04-30
1649412321 Justin Andrew Kan Emergency Medicine 50 Calyx Ln, Cedar Crest, NM 87008 2009-03-27
1316184831 Monique Y Keulen-nolet Nurse Practitioner 12127b North Highway 14, Suite #5, Cedar Crest, NM 87008 2009-01-21
1023141215 Jana R. Covell Physical Therapist 12127 B3 N. Hwy 14, Cedar Crest, NM 87008 2007-03-14
1124156815 Villa Santa Maria Residential Treatment Facility, Emotionally Disturbed Children 19 Cirquela Rd, Cedar Crest, NM 87008 2007-03-02
1083740971 Amy Beth Marie Miller Physical Therapist 12127 B-3 North Highway 14, Cedar Crest, NM 87008 2007-02-26
1215019237 Cedar Crest Vision LLC Optometrist 12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 2006-10-19
1972519759 Orrin Kent Mcleod Family Medicine 12127b N Hwy 14, Suite 5, Cedar Crest, NM 87008 2006-07-31
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Taxonomy Information

Taxonomy Code 176B00000X
Grouping Other Service Providers
Classification Midwife

Taxonomy Definition

A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033717798 Emily Jeanne Poynton Midwife 1710 N Union Ave Apt 6, Roswell, NM 88201-3275 2020-10-15
1477165629 Lisa C. Pena Midwife 2110 Calle De San Albino, Mesilla, NM 88046-8804 2020-08-19
1174134423 Jessie Marie Hughes Midwife 29 Pablita Rd, Ranchos De Taos, NM 87557-8714 2020-08-11
1497390470 Lucy Sturgis French Midwife 1538 Cerro Gordo Rd, Santa Fe, NM 87501-6263 2019-11-13
1669021903 Jennifer Tejada Midwife 8401a W Sandia Cir Se, Albuquerque, NM 87116-5505 2019-09-10
1386204287 Tirsa Eager Midwife 415 Stanford Dr Se, Albuquerque, NM 87106-3543 2019-06-13
1598328478 Rachel Brunacini Midwife 2510 Rio Grande Blvd Nw, Albuquerque, NM 87104-3224 2019-04-17
1255816039 Glenna Belin Marcus Midwife 905b Calle Armada, Espanola, NM 87532-0000 2018-09-27
1093228280 Soraya Shah Midwife 7 Silver Buckle Rd, Santa Fe, NM 87508-1491 2017-11-09
1760905020 Parteria Colibri - Hummingbird Midwifery Midwife 25 Birdhouse Drive, Ribera, NM 87560 2017-07-19
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Competitor

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City CEDAR CREST
Zip Code 87008

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Dataset Information

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.

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