Individual provider Active NPI

Elisabeth Weiss Roberts, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • San Francisco, CA
National Provider Identifier
1003547381
Registry record updated Jun 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
833124 Issued in CA
Practice address
777 Buena Vista Ave W
San Francisco, CA 94117-4107
Phone
(415) 505-2546
NPI assigned
Jun 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 833124 CA Primary

Addresses

Primary practice location

777 Buena Vista Ave W
San Francisco, CA 94117-4107

Mailing address

777 Buena Vista Ave W
San Francisco, CA 94117-4107
Phone (415) 505-2546

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.robertsrn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
833124CAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655510400000",
    "number": "1003547381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BUENA VISTA AVE W",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941174107",
            "telephone_number": "415-505-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BUENA VISTA AVE W",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941174107",
            "telephone_number": "415-505-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ELISABETH",
        "middle_name": "WEISS",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-18",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "833124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.robertsrn.com",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "777 Buena Vista Ave W",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941174107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.