Active NPI
Shawnna Dedrick
- Doula
- Medford, OR
National Provider Identifier
1295522118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- 111361
- Practice address
- 1025 E Main St
Medford, OR 97504-7689 - Phone
- (541) 779-1282
- NPI assigned
- Apr 23, 2025
- Last updated
- Jan 7, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 111361 | OR | Primary |
| Peer Specialist | 175T00000X | NU |
Addresses
Primary practice location
1025 E Main St
Medford, OR 97504-7689
Mailing address
1025 E Main St
Medford, OR 97504-7689
Phone (541) 779-1282
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 |
|---|---|---|---|
| 111361 | OR | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1295522118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 E MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047689",
"telephone_number": "541-779-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 E MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047689",
"telephone_number": "541-779-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDRICK",
"first_name": "SHAWNNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "OR",
"license": "111361",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.