Healthcare Provider Details

I. General information

NPI: 1518737089
Provider Name (Legal Business Name): LEAH ELAINE ELLIOTT DNP, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2024
Last Update Date: 08/22/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 PANORAMA DR
BAKERSFIELD CA
93305-1299
US

IV. Provider business mailing address

1801 PANORAMA DR OFC MS 1
BAKERSFIELD CA
93305-1299
US

V. Phone/Fax

Practice location:
  • Phone: 661-395-4664
  • Fax:
Mailing address:
  • Phone: 661-395-4664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-46789
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number697147
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW236421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: