=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629937123
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FOR SUCH A TIME AS THIS DOULAS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2026
-----------------------------------------------------
Last Update Date | 01/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8771 MONROE ST
-----------------------------------------------------
City | HOOPER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81136-5016
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-480-8939
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 596
-----------------------------------------------------
City | HOOPER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 81136-0596
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-480-8939
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOULA/OWNER
-----------------------------------------------------
Name | JAMIE LYNN HERNANDEZ
-----------------------------------------------------
Credential | PD
-----------------------------------------------------
Telephone | 719-580-8812
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------