KEI JULIA VELAZQUEZ (NPI# 1760581631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760581631 |
| Entity Type | Individual |
| Full Name | KEI JULIA VELAZQUEZ |
| Credential | CNM |
| Practice Address |
855 Sequoia Cir Fort Bragg CA 95437-5466 |
| Mailing Address |
205 South St Fort Bragg CA 95437-5540 |
| Practice Telephone | 7079641251 |
| Practice Fax Number | 7079612722 |
| Mailing Telephone | 7079641251 |
| Mailing Fax Number | 7079612722 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 1448 | CA | Other Service Providers |
| N | 363L00000X | Nurse Practitioner | 11789 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONER | 11789 | 01 |
| CA | NURSE MIDWIFE | 1448 | 01 |
| CA | CMM71141F | 05 |
| Street Address |
855 SEQUOIA CIR |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750749487 | Suzanna Macias | Dietitian, Registered | 855 Sequoia Cir, Fort Bragg, CA 95437-5466 | 2016-02-09 |
| 1801152822 | Lois Senger | Dietitian, Registered | 855 Sequoia Cir, Fort Bragg, CA 95437-5466 | 2012-04-03 |
| 1346548138 | Sophia Yanez | Community Health Worker | 855 Sequoia Cir, Fort Bragg, CA 95437-5466 | 2011-03-03 |
| 1386977767 | Jennifer Salyer | Registered Nurse | 855 Sequoia Cir, Fort Bragg, CA 95437-5466 | 2009-09-16 |
| 1821221599 | Lynn Unroe | Dietitian, Registered | 855 Sequoia Cir, Fort Bragg, CA 95437-5466 | 2009-08-28 |
| 1598997108 | Stacy Pollina | Community Health Worker | 855 Sequoia Cir, Fort Bragg, CA 95437-5466 | 2009-08-14 |
| 1669604286 | Susana Lopez | Community Health Worker | 855 Sequoia Cir, Fort Bragg, CA 95437-5466 | 2009-08-14 |
| 1427222538 | Jenna Rose Breton | Registered Nurse | 855 Sequoia Cir, Fort Bragg, CA 95437 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205359940 | Jacqueline Kay Allen | Midwife | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2017-07-25 |
| 1992107759 | Laurey Katherine Munch | Midwife | 2817 Reilly St, Womack Army Medical Center, Fort Bragg, NC 28310-7324 | 2014-09-23 |
| 1215911847 | Terri L Degeest | Midwife | Womack Army Medical Ctr, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445481 | Ananda Szerman | Midwife | 3350 Michelle Ct, Simi Valley, CA 93063-1019 | 2020-10-20 |
| 1922605914 | Jordan Joy Mccart | Midwife | 1148 Spazier Ave Apt B, Glendale, CA 91201-3771 | 2020-10-03 |
| 1629675772 | Amanda Latham | Midwife | 33690 Almond St, Wildomar, CA 92595-8752 | 2020-10-01 |
| 1093322406 | Catalina Francesca Betty Clark | Midwife | 3203 Johnston Ave, Redondo Beach, CA 90278-1520 | 2020-09-29 |
| 1831706795 | Kelly Jensen | Midwife | 1745 Harold Rd, Escondido, CA 92026-1822 | 2020-09-24 |
| 1548875255 | Charlee Haller | Midwife | 5632 Silverado Trl, Napa, CA 94558-9412 | 2020-09-09 |
| 1699387217 | Brittany Eldridge | Midwife | 71 Bemis St, San Francisco, CA 94131-3019 | 2020-08-17 |
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1225653900 | Kimberly Riego Catbagan Bongcaron | Midwife | 12 Aster Ln, Compton, CA 90221-3823 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
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| 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.