Amanda Rose Kessner, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

610 Issued in CA

Practice address

902 Stannage Ave
Albany, CA 94706-2006

Phone

(510) 679-1119

NPI assigned

Jun 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Bay Midwives

  • Midwife
  • Albany, CA
  • NPI 1477212892
  NPD

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1548885478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 STANNAGE AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062006",
            "telephone_number": "415-308-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 STANNAGE AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062006",
            "telephone_number": "510-679-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSNER",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "610",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@eastbaymidwives.com",
            "affiliation": "N",
            "endpointDescription": "general messenger",
            "address_1": "902 Stannage Ave",
            "city": "Albany",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947062006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathan Kaufman, D.D.S.
• Mark Bernard Kay, DDS
• Kristian Hans Kemtrup
• Maria Baka Kerosky, PH.D.
• Steven Mark Kessler, MFT
• Ella Kamal Khan, M.D.
• Jayeon Kim
• Luis Woong-Jin Kim, D.D.S.
• Margaret Kirkham, RN, MSN, FNP
• Jennifer Kirkland, PH.D.

• Midwife in Albany, CA
• Providers in Albany, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.