Individual provider Active NPI

Karly Penton, BSN, RNC-OB, IBCLC

  • Doula
  • Sonora, CA
National Provider Identifier
1972332484
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
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

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
95053475CAMDRegistered Nurse
L-309124CAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.