Michelle Meredith Clookie, CLEC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

714 San Gabriel PL
San Diego, CA 92109-8032

Phone

(619) 873-8488

NPI assigned

Apr 24, 2018

Last updated

Apr 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1023506193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035703",
            "telephone_number": "619-873-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SAN GABRIEL PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921098032",
            "telephone_number": "619-873-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOOKIE",
        "first_name": "MICHELLE",
        "middle_name": "MEREDITH",
        "credential": "CLEC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO OTHER NUMBERS",
            "identifier": "NONE",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Nicole Cloetta, D.D.S.
• Cloisters Nursing Center Inc (Shea Family Care Mission Hills)
• Robert Clonts
• Sierra F Clonts
• Jeremy Stewart Clookie, FNP
• Rachel Mary Cloos
• Sara Cloostermans, LMFT, LPCC
• Gary S. Clorfeine, MD
• Jacqueline Fitzgerald Close I, GCNS-BC
• Kelly Elizabeth Closser

• Lactation Consultant (Non-RN) in San Diego, CA
• Providers in San Diego, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.