Active NPI
Colleen Constance Shoaf, CD
- Doula
- Spring Creek, NV
National Provider Identifier
1255796876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 1049-82
- Practice address
- 323 Kimble Dr
Spring Creek, NV 89815-6354 - Phone
- (775) 397-2224
- Fax
- (509) 757-3987
- NPI assigned
- Dec 24, 2015
- Last updated
- Dec 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 1049-82 | CA | Primary |
Addresses
Primary practice location
323 Kimble Dr
Spring Creek, NV 89815-6354
Mailing address
323 Kimble Dr
Spring Creek, NV 89815-6354
Phone (775) 397-2224
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 |
|---|---|---|---|
| 1049-82 | CA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450915200000",
"number": "1255796876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 KIMBLE DR",
"city": "SPRING CREEK",
"state": "NV",
"postal_code": "898156354",
"telephone_number": "775-397-2224",
"fax_number": "509-757-3987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 KIMBLE DR",
"city": "SPRING CREEK",
"state": "NV",
"postal_code": "898156354",
"telephone_number": "775-397-2224",
"fax_number": "509-757-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOAF",
"first_name": "COLLEEN",
"middle_name": "CONSTANCE",
"credential": "CD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-24",
"last_updated": "2015-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "CA",
"license": "1049-82",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Creek, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.