ANISSA NISHIRA CORNELIUS LM, CPM, IBCLC
NPI 1093067274
Midwife in San Diego, CA
- Individual
- Female
- Midwife
About ANISSA CORNELIUS
This page provides the complete NPI Profile along with additional information for Anissa Cornelius, a provider established in San Diego, California with a medical specialization in Midwife. The healthcare provider is registered in the NPI registry with number 1093067274 assigned on October 2012. The practitioner's primary taxonomy code is 176B00000X with license number 765 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1093067274 Verify this NPI
- Provider Name
- ANISSA NISHIRA CORNELIUS LM, CPM, IBCLC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4545 FANUEL ST SAN DIEGO, CA 92109
- Location Phone
- (858) 900-2004
- Mailing Address
- 8550 GOLD COAST DR SAN DIEGO, CA 92126
- Mailing Phone
- (858) 361-6392
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-11-2012
- Last Update Date
- 05-06-2025
- Code Navigator
Location Map
Secondary Locations
- 8550 Gold Coast Dr
San Diego, CA 92126
(951) 347-5418
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Midwife
- Taxonomy Code
- 176B00000X
- Type
- Other Service Providers
- License No.
- 765
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174N00000X | Other Service Providers | Lactation Consultant, Non-RN | L-314425 |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093067274, enumerated as an "individual" on October 11, 2012.
The provider is located at 4545 FANUEL ST SAN DIEGO, CA 92109 and the phone number is (858) 900-2004.
Midwife with taxonomy code 176B00000X.
