Shauna Kenealey, LM, CPM, IBCLC
Individual provider Active NPI Midwife · Comptche, CA
NPI 1992948715 · NPPES record last updated Mar 10, 2023
Key facts
- NPI
- 1992948715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- LM399 (CA)
- Practice address
- 26020 Comptche-Ukiah Rd
Comptche, CA 95427 - Phone
- (541) 727-1907
- Fax
- (541) 256-3772
- NPI assigned
- Apr 9, 2009
- 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 |
|---|---|---|---|
| LM399 | CA | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-22176 | ||
| Midwife | 176B00000X | LM399 | CA | Yes |
Addresses
Primary practice location
26020 Comptche-Ukiah Rd
Comptche, CA 95427
Mailing address
PO Box 165
Comptche, CA 95427
Phone (541) 727-1907
Other providers in Comptche, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2023. 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.