Karon Annette Culp, CPM, CLC, CD(DONA)
Individual provider Active NPI Midwife · East Ridge, TN
NPI 1366716706 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1366716706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 90 (TN)
- Practice address
- 3605 Wimberly LN
East Ridge, TN 37412-1847 - Phone
- (865) 936-5455
- Fax
- (678) 433-2088
- NPI assigned
- Mar 2, 2012
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90 | TN | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Doula | 374J00000X | |||
| Midwife | 176B00000X | 90 | TN | Yes |
Addresses
Primary practice location
3605 Wimberly LN
East Ridge, TN 37412-1847
Mailing address
PO Box 1149
Cartersville, GA 30120-1149
Phone (678) 431-0500
Other names
- Miss Karon Annette Slay
Other providers in East Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. 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.