Active NPI
Shanna Renee Dewey, DOULA
- Doula
- Melba, ID
National Provider Identifier
1467964064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 8274 Birmingham Rd
Melba, ID 83641-4210 - Phone
- (208) 896-5889
- NPI assigned
- Nov 4, 2017
- Last updated
- Nov 4, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | ID | Primary |
Addresses
Primary practice location
8274 Birmingham Rd
Melba, ID 83641-4210
Mailing address
8274 Birmingham Rd
Melba, ID 83641-4210
Phone (208) 896-5889
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509753600000",
"number": "1467964064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8274 BIRMINGHAM RD",
"city": "MELBA",
"state": "ID",
"postal_code": "836414210",
"telephone_number": "208-896-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8274 BIRMINGHAM RD",
"city": "MELBA",
"state": "ID",
"postal_code": "836414210",
"telephone_number": "208-896-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWEY",
"first_name": "SHANNA",
"middle_name": "RENEE",
"credential": "DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-04",
"last_updated": "2017-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melba, ID
- Community Health Clinics, Inc. (Terry Reilly Health Services)
- County of Canyon School District Class B 136J
- CRX Health Services LLC (Custom Rx Pharmacy Melba)
- Custom RX LLC (Custom Rx Pharmacy Melba)
- Anastasia Katrina Marisa Deforge
- Anneliese Taylor Haws, DDS
- Jamie Lynn Hendricks, FNP-BC, RN
- Drostan N Orme, DDS
- Revive Recovery
- Anne E Rushing, MSN, MAC, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.