MEDICARE: JAMARIA KERRY-ANN LEVERIDGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	250707	NY

General Provider Information

NPI Number	:	1962351767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMARIA KERRY-ANN LEVERIDGE

Provider Business Mailing Address
First Line	:	850 E 31ST ST APT D12
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3035
Country	:	US
Telephone Number	:	347-257-1124
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 E 31ST ST APT D12
Second Line	:	D12
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3035
Country	:	US
Telephone Number	:	347-257-1124
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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