Tynesha Bennett, CFSD, CPPD
Individual provider Active NPI Doula · Sonora, CA
NPI 1093476921 · NPPES record last updated Jan 3, 2022
Key facts
- NPI
- 1093476921
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 20870 Lynn LN
Sonora, CA 95370-9101 - Phone
- (805) 284-3834
- NPI assigned
- Jan 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
20870 Lynn LN
Sonora, CA 95370-9101
Mailing address
20870 Lynn LN
Sonora, CA 95370-9101
Phone (805) 284-3834
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.