KELLY BOLERJACK


Address: 4400 Twisted Tree Drive, Austin, TX 78735
Phone: 2514557762

KELLY BOLERJACK (NPI# 1306306154) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 374J00000X Doula Nursing Service Related Providers

Office Location

Street Address 4400 TWISTED TREE DRIVE
City AUSTIN
State TX
Zip Code 78735

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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
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Taxonomy Information

Taxonomy Code 374J00000X
Grouping Nursing Service Related Providers
Classification Doula

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City AUSTIN
Zip Code 78735

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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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