Shareese Danielle Kilbane

Primary specialty

DoulaTaxonomy code 374J00000X

License

000105027 Issued in OR

Practice address

311 N Polk St
Eugene, OR 97402-7102

Phone

(541) 510-2535

NPI assigned

Jul 15, 2021

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

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1568034718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N POLK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974027102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N POLK ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974027102",
            "telephone_number": "541-510-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBANE",
        "first_name": "SHAREESE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "OR",
            "license": "000105027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THW",
            "identifier": "000105027",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://Intakeq.com",
            "affiliation": "N",
            "address_1": "311 N Polk St",
            "city": "Eugene",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974027102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karishma Khunger, DDS
• Meghann Kidd
• Melissa Renee Kidman
• Sunny Kierstyn, RN,DC
• Christy S Kik
• Kathryn Nicole Kilbourn, MS, QMHA, PSS
• Francie Edith Killian, M.S., CISSN
• Terrence Killian, M.S.W
• Dorothy Olive Kilmer, F.N.P.
• Josie A Kilpatrick, LMT

• Doula in Eugene, OR
• Providers in Eugene, OR by specialty
• Doula in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.