Katherine Leigh Coletti, LM, CPM
Individual provider Active NPI Midwife · Sonoma, CA
NPI 1407010002 · NPPES record last updated Jul 12, 2008
Key facts
- NPI
- 1407010002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 229 (CA)
- Practice address
- 21708 Broadway
Sonoma, CA 95476-8219 - Phone
- (707) 483-7061
- NPI assigned
- Jul 12, 2008
- 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 |
|---|---|---|---|
| 229 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 229 | CA | Yes |
Addresses
Primary practice location
21708 Broadway
Sonoma, CA 95476-8219
Mailing address
21708 Broadway
Sonoma, CA 95476-8219
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2008. 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.