Individual provider Active NPI

Kelly Pamela Hawes, LM, CPM, IBCLC

  • Midwife
  • Pacific Grove, CA
National Provider Identifier
1407524606
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
658 Issued in CA
Practice address
311 Forest Ave Ste B7
Pacific Grove, CA 93950-3368
Phone
(831) 402-8500
Fax
(831) 288-1523
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-316061
Midwife 176B00000X 658 CA Primary

Addresses

Primary practice location

311 Forest Ave Ste B7
Pacific Grove, CA 93950-3368

Mailing address

311 Forest Ave Ste B7
Pacific Grove, CA 93950-3368
Phone (831) 402-8500

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
658CAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1407524606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 FOREST AVE STE B7",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503368",
            "telephone_number": "831-402-8500",
            "fax_number": "831-288-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 FOREST AVE STE B7",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939503368",
            "telephone_number": "831-402-8500",
            "fax_number": "831-288-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWES",
        "first_name": "KELLY",
        "middle_name": "PAMELA",
        "credential": "LM, CPM, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-316061",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.