=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649108200
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | 4TH TRIMESTER ARIZONA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2026
-----------------------------------------------------
Last Update Date | 05/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8400 S KYRENE RD STE 126
-----------------------------------------------------
City | TEMPE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85284-2172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-442-8491
-----------------------------------------------------
Fax | 480-442-8491
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8400 S KYRENE RD STE 126
-----------------------------------------------------
City | TEMPE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85284-2172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-442-8491
-----------------------------------------------------
Fax | 480-442-8491
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. JENNIE BEVER
-----------------------------------------------------
Credential | PHD, IBCLC
-----------------------------------------------------
Telephone | 858-442-8266
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374J00000X
-----------------------------------------------------
Taxonomy Name | Doula
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------