Individual provider Active NPI

Shannon Nicole Johns, CD (DONA)

  • Doula
  • Buffalo, NY
National Provider Identifier
1063981595
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
License
11984 Issued in NY
Practice address
191 Rebecca Park
Buffalo, NY 14207
Phone
(716) 909-0074
NPI assigned
Nov 14, 2018
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X 11984 NY Primary

Addresses

Primary practice location

191 Rebecca Park
Buffalo, NY 14207

Mailing address

191 Rebecca Park
Buffalo, NY 14207-1807
Phone (716) 909-0074

Other practice location 1

191 Rebecca Park
Buffalo, NY 14207
Phone (716) 909-0074

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

LicenseStateTypeSpecialty
11984NYMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Calming Nature Doula Service & Center Doula CurrentSince Jul 3, 2022 Accepting new patients

Locations

223 Grant St
Buffalo, NY 14213
Phone (716) 750-2050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1063981595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 REBECCA PARK",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071807",
            "telephone_number": "716-909-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 REBECCA PARK",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14207",
            "telephone_number": "716-909-0074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Rebecca Park",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14207",
            "country_code": "US",
            "telephone_number": "716-909-0074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "credential": "CD (DONA)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NY",
            "license": "11984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.