Shonna Charie Crowder
Individual provider Active NPI Doula · Lakehead, CA
NPI 1114710944 · NPPES record last updated May 24, 2025
Key facts
- NPI
- 1114710944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 20749 Mammoth Dr
Lakehead, CA 96051-9605 - Phone
- (209) 420-9634
- NPI assigned
- May 24, 2025
- 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
20749 Mammoth Dr
Lakehead, CA 96051-9605
Mailing address
20749 Mammoth Dr
Lakehead, CA 96051-9605
Phone (209) 420-9634
Other providers in Lakehead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2025. 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.