Active NPI
Shawna Berglund
- Doula
- Lakeport, CA
National Provider Identifier
1619716149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 655 Starr Dust CT
Lakeport, CA 95453-6976 - Phone
- (707) 291-0989
- NPI assigned
- May 23, 2024
- Last updated
- May 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
655 Starr Dust CT
Lakeport, CA 95453-6976
Mailing address
3125 Valentine LN
Redding, CA 96001-3911
Phone (707) 291-0989
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": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1619716149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 VALENTINE LN",
"city": "REDDING",
"state": "CA",
"postal_code": "960013911",
"telephone_number": "707-291-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 STARR DUST CT",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536976",
"telephone_number": "707-291-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGLUND",
"first_name": "SHAWNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.