KELLY BOLERJACK (NPI# 1306306154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306306154 |
| Entity Type | Individual |
| Full Name | KELLY BOLERJACK |
| Credential | CD(DONA) |
| Practice Address |
4400 Twisted Tree Drive Austin TX 78735 |
| Practice Telephone | 2514557762 |
| Mailing Telephone | 2514557762 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
4400 TWISTED TREE DRIVE |
| City | AUSTIN |
| State | TX |
| Zip Code | 78735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959748 | Si Shou Acupuncture and Wellness, Pllc | Acupuncturist | 5424 W Us Hwy 290 Service Rd, Ste #106, Austin, TX 78735 | 2020-07-10 |
| 1982221115 | Andrea Fackler | Counselor | 4425 S. Mopac Expressway, Building 3, Suite 503, Austin, TX 78735 | 2020-07-03 |
| 1134763162 | Amanda Enzbigilis | Physical Therapist | 5251 W Us Highway 290, Austin, TX 78735 | 2019-11-02 |
| 1427616408 | Soco Psychotherapy, Inc | Counselor | 4425 Mopac Expressway South, Bldg II, Suite 204, Austin, TX 78735 | 2019-06-04 |
| 1407362619 | Sara Katherine Paules | Counselor | 4425 South Mopac Expy, Suite 502, Austin, TX 78735 | 2017-12-26 |
| 1851806418 | Circle Medical Care of Texas P. A. | Internal Medicine | 5424 W. Us Hwy 290, 101, Austin, TX 78735 | 2017-12-05 |
| 1699293266 | Derek Kalvin Vo | Dentist | 7612 W Highway 71 Ste B, Austin, TX 78735 | 2017-09-05 |
| 1588189013 | Rachel Caroline Boraten | Audiologist | 5625 Eiger Rd Ste 125, Austin, TX 78735 | 2017-08-05 |
| 1669908489 | Lesley Caldwell Ma Lpc Pllc | Counselor | 4425 South Mopac Expy., Building IIi, Suite 603, Austin, TX 78735 | 2017-05-11 |
| 1104351766 | Serenity Dental Pllc | Clinic/Center | 8731 State Hwy 71 West, Suite 102, Austin, TX 78735 | 2017-04-20 |
| Find all providers in zip 78735 | ||||
| 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 |
|---|---|---|---|---|
| 1295352995 | Aphrica A Farrow | Doula | 2500 Chaparral Trl, Austin, TX 78744-3614 | 2020-06-29 |
| 1093338659 | Jenna Brown | Doula | 1500 E Riverside Dr Apt 329, Austin, TX 78741-1151 | 2020-05-18 |
| 1184250375 | Mallory Jacks | Doula | 1302 Spyglass Dr Apt 173, Austin, TX 78746-7586 | 2020-03-19 |
| 1508312224 | Karrie Green | Doula | 28718 525th Ave, Austin, MN 55912-5736 | 2016-09-01 |
| 1912356114 | Julie Hoang Le | Doula | 3316 Guadalupe St Apt 219, Austin, TX 78705-2340 | 2016-06-08 |
| 1144697079 | Nicole Palomo Mccharen | Doula | 4209 Threadgill St, Austin, TX 78723-4548 | 2015-08-26 |
| 1427425743 | Bethany Allen | Doula | 802 Silcantu Dr, Austin, TX 78748-2331 | 2015-08-24 |
| 1386026243 | Yazmin Costopoulos | Doula | 3200 S 1st St, Apt. 1024, Austin, TX 78704-6387 | 2015-06-26 |
| 1912247586 | Alexa Plunkett | Doula | 1128 Hollow Creek Dr, #3, Austin, TX 78704-2167 | 2013-02-19 |
| 1760729446 | Yaara Bader | Doula | 6525 Hart Ln, Austin, TX 78731-3138 | 2013-01-14 |
| Find all providers in AUSTIN | ||||
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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.