Active NPI
Karly Penton, BSN, RNC-OB, IBCLC
- Doula
- Sonora, CA
National Provider Identifier
1972332484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 18099 Via Serena Rd
Sonora, CA 95370-8731 - Phone
- (209) 454-1140
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-309124 | CA | |
| Doula | 374J00000X | Primary | ||
| Registered Nurse | 163W00000X | 95053475 | CA |
Addresses
Primary practice location
18099 Via Serena Rd
Sonora, CA 95370-8731
Mailing address
18099 Via Serena Rd
Sonora, CA 95370-8731
Phone (209) 454-1140
Other practice location 1
16575 Draper Mine Rd
Sonora, CA 95370-8430
Phone (209) 984-6051
Other practice location 2
1621 W Carroll Ave
Chicago, IL 60612-2501
Phone (888) 510-0059
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
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95053475 | CA | MD | Registered Nurse |
| L-309124 | CA | MD | Lactation Consultant (Registered Nurse) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Natural Birth Center LLC | Doula | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1972332484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18099 VIA SERENA RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953708731",
"telephone_number": "209-454-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18099 VIA SERENA RD",
"city": "SONORA",
"state": "CA",
"postal_code": "953708731",
"telephone_number": "209-454-1140"
}
],
"practiceLocations": [
{
"address_1": "16575 Draper Mine Rd",
"address_purpose": "LOCATION",
"city": "Sonora",
"state": "CA",
"postal_code": "953708430",
"country_code": "US",
"telephone_number": "209-984-6051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1621 W Carroll Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606122501",
"country_code": "US",
"telephone_number": "888-510-0059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENTON",
"first_name": "KARLY",
"credential": "BSN, RNC-OB, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2025-02-28",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "L-309124",
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95053475",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.