JAQUELYN M MYSAK (NPI# 1013247782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013247782 |
| Entity Type | Individual |
| Full Name | JAQUELYN M MYSAK |
| Credential | CD(DONA) |
| Practice Address |
2413 17th Ave Nw Rochester MN 55901-7785 |
| Practice Telephone | 5078849424 |
| Mailing Telephone | 5078849424 |
| Enumeration Date | 2010-01-02 |
| Last Update Date | 2010-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
2413 17TH AVE NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-7785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1245592385 | Julia Marie Sittig | Doula | 210 Seneca Pkwy, Rochester, NY 14613-1415 | 2012-06-14 |
| 1376829754 | Lura Christine Muscato | Doula | 928 Whistlers Cove Ln, Rochester, NY 14612-1460 | 2011-10-28 |
| 1538451653 | Adriana Lozada | Doula | 73 Hidden Valley Rd, Rochester, NY 14624-2346 | 2011-05-08 |
| 1275823551 | Tamara Lynne Mancuso | Doula | 365 Marwood Rd, Rochester, NY 14612-4266 | 2011-04-08 |
| 1538469903 | Elizabeth Weber | Doula | 108 Cobbs Hill Dr, Rochester, NY 14610-2827 | 2010-11-01 |
| 1083082747 | Beautiful Birth Choices, LLC | Doula | 1100 University Ave, Rochester, NY 14607-1653 | 2015-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112827 | Miranda Kay Sorenson | Doula | 12302 313th Ave, Princeton, MN 55371-3320 | 2020-10-22 |
| 1538766688 | Abigail Jean Degroot | Doula | 1328 Searle St, Saint Paul, MN 55130-3426 | 2020-10-01 |
| 1437769338 | Tabitha Morrison | Doula | 1108 Earley Shores Ln, Burnsville, MN 55306-6172 | 2020-08-05 |
| 1194344523 | Brooke J Burns | Doula | 2319 Gettysburg Ave S, St Louis Park, MN 55426-2342 | 2020-04-15 |
| 1841826690 | Christina Bussler | Doula | 5040 W 145th St, Savage, MN 55378-2756 | 2020-03-12 |
| 1760016877 | Debra Mary Gottfried | Doula | 11770 Falk Trl, Northfield, MN 55057-4475 | 2020-02-27 |
| 1578193462 | Skyler Vander Vorst | Doula | 1530 Armstrong Ave N, Glencoe, MN 55336-1229 | 2020-01-21 |
| 1811534563 | Laura Griffis | Doula | 12160 Radisson Rd Ne, Blaine, MN 55449-5426 | 2019-12-02 |
| 1992261598 | Ariel Ewefada | Doula | 6130 7th St Ne, Fridley, MN 55432-5041 | 2019-02-19 |
| 1265934491 | Denika Lynn Anderson | Doula | 649 Old Highway 8 Nw Apt 128, New Brighton, MN 55112-2871 | 2018-03-04 |
| Find all providers with the same taxonomy | ||||
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| 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.