COASTAL FAMILY BIRTH RETREAT, LLC (NPI# 1447374400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447374400 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY BIRTH RETREAT, LLC |
| Practice Address |
13 Frying Pan Ln Stratham NH 03885-2506 |
| Practice Telephone | 6035802327 |
| Practice Fax Number | 6035802326 |
| Mailing Telephone | 6035802327 |
| Mailing Fax Number | 6035802326 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | VALERIE ANN JACQUES (OWNER, ADMINISTRATOR) |
| Authorized Official Telephone | 6035802327 |
| Authorized Official Credential | RN, CPM, NHCM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175M00000X | Midwife, Lay | 1009 | NH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30462658 | 05 | |
| NH | 30464876 | 05 |
| Street Address |
13 FRYING PAN LN |
| City | STRATHAM |
| State | NH |
| Zip Code | 03885-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891853198 | Valerie A. Jacques | Midwife, Lay | 13 Frying Pan Ln, Stratham, NH 03885-2506 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972886893 | Emily R. Spencer | Physical Therapist | 118 Portsmouth Ave Ste B101, Stratham, NH 03885 | 2011-09-27 |
| 1538371315 | Chalpin Dental Associates PC | Dentist | 62 Portsmouth Ave, Stratham, NH 03885 | 2007-05-04 |
| 1598825721 | Barry John Collins | Optometrist | 74 Portsmouth Ave, Stratham Family Eye Care, Stratham, NH 03885 | 2006-12-11 |
| 1588734016 | Michele A. Mccarthy | Audiologist | 4 West Rd Ste 4c, Stratham, NH 03885 | 2006-11-09 |
| 1720162316 | Cvs Manchester Nh, L.L.C. | Pharmacy | One West Rd, Stratham, NH 03885 | 2006-10-24 |
| 1205937018 | Joann B Stich | Nurse Practitioner | 118 Portsmouth Ave Ste B102, Stratham, NH 03885 | 2006-09-26 |
| 1407961063 | Thomas Shealy IIi | Dentist | 2 Raeder Drive, Stratham, NH 03885 | 2006-08-21 |
| 1215975206 | Doris D Cromer | Family Medicine | 8 Aspen Ln, Stratham, NH 03885 | 2006-06-03 |
| 1093761355 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 100 Shaws Ln, Stratham, NH 03885 | 2006-05-26 |
| 1124095500 | Yvette Youssef | Internal Medicine | 118 Portsmouth Avenue, Mill Brook Office Park, Stratham, NH 03885 | 2006-03-03 |
| Find all providers in zip 03885 | ||||
| Taxonomy Code | 175M00000X |
| Grouping | Other Service Providers |
| Classification | Midwife, Lay |
| A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891853198 | Valerie A. Jacques | Midwife, Lay | 13 Frying Pan Ln, Stratham, NH 03885-2506 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861700940 | Brigitte E. B. Eastman | Midwife, Lay | 31 Hoyt Rd, Grafton, NH 03240-3841 | 2010-09-22 |
| 1063659886 | Elizabeth Fifield Gaby | Midwife, Lay | 12 Spaulding St, Concord, NH 03301-2570 | 2009-01-15 |
Please comment or provide details below to improve the information on COASTAL FAMILY BIRTH RETREAT, 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.