Healthcare Provider Details

I. General information

NPI: 1629985163
Provider Name (Legal Business Name): BIRTHING TOGETHER DOULA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 WILEY BLVD SW
CEDAR RAPIDS IA
52408-8005
US

IV. Provider business mailing address

PO BOX 8362
CEDAR RAPIDS IA
52408-8362
US

V. Phone/Fax

Practice location:
  • Phone: 319-491-1596
  • Fax:
Mailing address:
  • Phone: 319-491-1596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: SHAYLA RENAE WESLEY-SHANKS
Title or Position: BIRTH DOULA
Credential:
Phone: 319-491-1596