Provider Demographics
NPI:1174340426
Name:NEWAY, TSADAE (CMT, FNLP, DOULA)
Entity type:Individual
Prefix:
First Name:TSADAE
Middle Name:
Last Name:NEWAY
Suffix:
Gender:F
Credentials:CMT, FNLP, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 W MERLE CT
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-2041
Mailing Address - Country:US
Mailing Address - Phone:510-816-7247
Mailing Address - Fax:
Practice Address - Street 1:4318 MARTIN LUTHER KING JR WAY STE B
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1836
Practice Address - Country:US
Practice Address - Phone:510-816-7247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133NN1002X, 174N00000X, 374J00000X
CA40882225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula