Active NPI
Shiela May Vanderveer, LM, CPM
- Advanced Practice Midwife
- Sebastopol, CA
National Provider Identifier
1023200201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 224
- Practice address
- 1604 Gravenstein Hwy S
Sebastopol, CA 95472-4837 - Phone
- (510) 374-9193
- Fax
- (707) 306-7579
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | 07034R | NM | |
| Advanced Practice Midwife | 367A00000X | 224 | CA | Primary |
Addresses
Primary practice location
1604 Gravenstein Hwy S
Sebastopol, CA 95472-4837
Mailing address
1604 Gravenstein Hwy S
Sebastopol, CA 95472-4837
Phone (510) 374-9193
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@comadresmidwifery.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07034R | NM | MD | Lay Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1023200201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 GRAVENSTEIN HWY S",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724837",
"telephone_number": "510-374-9193",
"fax_number": "707-306-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 GRAVENSTEIN HWY S",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724837",
"telephone_number": "510-374-9193",
"fax_number": "707-306-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERVEER",
"first_name": "SHIELA",
"middle_name": "MAY",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "NM",
"license": "07034R",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "224",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@comadresmidwifery.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1604 Gravenstein Hwy S",
"city": "Sebastopol",
"state": "CA",
"country_code": "US",
"postal_code": "954724837",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.