Individual provider Active NPI

Danielle Lauren Shealy, CD (DONA), CPM, LM

  • Midwife
  • Prosperity, SC
National Provider Identifier
1255811840
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
0084 Issued in SC
Practice address
7296 US Highway 76
Prosperity, SC 29127-9461
Phone
(803) 364-4366
Fax
(803) 364-4367
NPI assigned
Aug 14, 2018
Last updated
Aug 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 0084 SC Primary
Doula 374J00000X 10891 IL

Addresses

Primary practice location

7296 US Highway 76
Prosperity, SC 29127-9461

Mailing address

7296 US Highway 76
Prosperity, SC 29127-9461
Phone (803) 364-4366

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
0084SCMDMidwife
10891ILMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1255811840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7296 US HIGHWAY 76",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291279461",
            "telephone_number": "803-364-4366",
            "fax_number": "803-364-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7296 US HIGHWAY 76",
            "city": "PROSPERITY",
            "state": "SC",
            "postal_code": "291279461",
            "telephone_number": "803-364-4366",
            "fax_number": "803-364-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEALY",
        "first_name": "DANIELLE",
        "middle_name": "LAUREN",
        "credential": "CD (DONA), CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "0084",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "IL",
            "license": "10891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosperity, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.