Active NPI
Caitlin Marie Kirkman
- Doula
- Ukiah, CA
National Provider Identifier
1497091383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 705 N State St # 315
Ukiah, CA 95482-3407 - Phone
- (307) 631-0591
- NPI assigned
- Dec 20, 2012
- 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 | Primary | ||
| Midwife | 176B00000X | 355 | CA |
Addresses
Primary practice location
705 N State St # 315
Ukiah, CA 95482-3407
Mailing address
705 N State St # 315
Ukiah, CA 95482-3407
Phone (307) 631-0591
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 |
|---|---|---|---|
| 355 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1497091383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 N STATE ST # 315",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823407",
"telephone_number": "307-631-0591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N STATE ST # 315",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823407",
"telephone_number": "307-631-0591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKMAN",
"first_name": "CAITLIN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-20",
"last_updated": "2024-06-03",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "355",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.