McKenna Dawn Marie Matins, BSN, RN; BIRTH DOULA
Individual provider Active NPI Doula · Sandia Park, NM
NPI 1821944307 · NPPES record last updated Aug 23, 2026
Key facts
- NPI
- 1821944307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- 26002D (NM)
- Practice address
- 333 Frost Rd
Sandia Park, NM 87047-9425 - Phone
- (505) 385-4764
- Fax
- (505) 385-4764
- NPI assigned
- Mar 7, 2026
- 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 |
|---|---|---|---|
| 26002D | NM | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 90262 | NM | |
| Doula |
374J00000X | 26002D | NM | Yes |
Addresses
Primary practice location
333 Frost Rd
Sandia Park, NM 87047-9425
Mailing address
333 Frost Rd
Sandia Park, NM 87047-9425
Other providers in Sandia Park, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2026. 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.