National Provider Identifier

Dominique Shannon

Dominique Shannon is listed in the NPPES registry with a primary specialty of Doula in Rochester, NY and a listed phone number of (585) 300-8660.

NPI 1306714647Rochester, NYDoula

Profile Overview

NPI
1306714647
Provider Type
Individual
Primary Specialty
Doula
Enumeration Date
October 28, 2025
Last Updated
October 28, 2025

Practice Location

  • 107 Sandalwood Dr
  • Rochester, NY 14616-1515

Phone: (585) 300-8660

Specialties

  • Doula (374J00000X)
Full Record
NPI
1306714647
Entity Type
Individual
Last Name
Shannon
First Name
Dominique
Name Prefix
Mrs.
Mailing Street Address
107 Sandalwood Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-1515
Mailing Country
US
Mailing Phone
(585) 300-8660
Practice Street Address
107 Sandalwood Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-1515
Practice Country
US
Practice Phone
(585) 300-8660
Enumeration Date
October 28, 2025
Last Updated
October 28, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
October 28, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Doula (374J00000X)