Individual provider Active NPI

Airalia Shane Keime, LM, LVN

  • Midwife
  • San Diego, CA
National Provider Identifier
1174974646
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM469 Issued in CA
Practice address
4455 Twain Ave
Suite H1
San Diego, CA 92120-3458
Phone
(619) 880-9433
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN 229858 CA
Midwife 176B00000X LM469 CA Primary

Addresses

Primary practice location

4455 Twain Ave
Suite H1
San Diego, CA 92120-3458

Mailing address

5236 Lewison Ave
San Diego, CA 92120-1265
Phone (619) 880-9433

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
VN 229858CAMDLicensed Vocational Nurse
LM469CAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1174974646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5236 LEWISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201265",
            "telephone_number": "619-880-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 TWAIN AVE",
            "address_2": "SUITE H1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203458",
            "telephone_number": "619-880-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIME",
        "first_name": "AIRALIA",
        "middle_name": "SHANE",
        "credential": "LM, LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 229858",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.