MRS. SHANON MIRANDA PRUDEN (NPI# 1639465800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639465800 |
| Entity Type | Individual |
| Full Name | MRS. SHANON MIRANDA PRUDEN |
| Credential | CLD(CBI) |
| Practice Address |
83 Haven Ct Apt F Bremerton WA 98312-1815 |
| Practice Telephone | 3609908549 |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2011-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374J00000X | Doula | Nursing Service Related Providers |
| Street Address |
83 HAVEN CT APT F |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 374J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Doula |
| Doulas work in a variety of settings and have been trained to provide physical, emotional, and informational support to a mother before, during, and just after birth and/or provide emotional and practical support to a mother during the postpartum period. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439801 | Rachel Pamela Stamey | Doula | 635 Times Ave, Bremerton, WA 98312-3715 | 2020-08-24 |
| 1891272993 | Mandy Watson | Doula | 8173 6th Ave Ne, Bremerton, WA 98311-9326 | 2018-07-23 |
| 1194236059 | Megan Alice Jennings | Doula | 6971 Clover Blossom Ln Ne, Bremerton, WA 98311-9527 | 2017-10-18 |
| 1285076877 | Jenny Waldbillig | Doula | 287 Sunnyhill Rd W, Bremerton, WA 98312-3113 | 2013-07-23 |
| 1831637347 | Kristina Kruzan | Doula | 511 4th St, Bremerton, WA 98337-1409 | 2017-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013944 | Shelia Anne Kandeler | Doula | 5008 162nd Ave Ne, Redmond, WA 98052-7000 | 2020-11-05 |
| 1730780784 | Rebekah Schmidt | Doula | 747 Broadway Ste 920, Seattle, WA 98122-4379 | 2020-11-05 |
| 1073114559 | Meg Chappell | Doula | 747 Broadway Bldg Suite, Seattle, WA 98122-4379 | 2020-11-02 |
| 1629677000 | Tracy Lynnette Valentine | Doula | 5717 Ne 135th Ave, Vancouver, WA 98682-5974 | 2020-10-18 |
| 1902419849 | Elizabeth Dawn Garcia | Doula | 3018 Ne 78th Ave, Vancouver, WA 98662-7110 | 2020-08-29 |
| 1053924290 | Melanie Kay Shaul | Doula | 316 W Bridges Rd, Deer Park, WA 99006-8174 | 2020-08-27 |
| 1629696968 | Wendy Marie Quast | Doula | 4229 1st Ave Nw, Seattle, WA 98107-4303 | 2020-07-13 |
| 1285252718 | Barbara Singh | Doula | 132 Tommy Ln, Washougal, WA 98671-7945 | 2020-07-10 |
| 1568081149 | Kayla Balholm | Doula | 1518 W Knox Ave, Spokane, WA 99205-4368 | 2020-04-13 |
| 1174150718 | Kayla Marie Olson | Doula | 13524 43rd Ave Se, Mill Creek, WA 98012-8937 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. SHANON MIRANDA PRUDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.