Kimberly Michelle Stanford, LM
Individual provider Active NPI Midwife · Winters, CA
NPI 1780328286 · NPPES record last updated Apr 25, 2022
Key facts
- NPI
- 1780328286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- 672 (CA)
- Practice address
- 411 Abbey St
Winters, CA 95694-1801 - Phone
- (916) 622-3478
- NPI assigned
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 672 | CA | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | 672 | CA | Yes |
Addresses
Primary practice location
411 Abbey St
Winters, CA 95694-1801
Mailing address
411 Abbey St
Winters, CA 95694-1801
Phone (916) 622-3478
Other providers in Winters, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.