Individual provider Active NPI

Ellen Hilary Schwerin, MPH, IBCLC

  • Lactation Consultant (Non-RN)
  • Berkeley, CA
National Provider Identifier
1033463633
Registry record updated Nov 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11248161 Issued in CA
Practice address
2719 Woolsey St
Berkeley, CA 94705-2606
Phone
(415) 819-9769
Fax
(253) 830-0722
NPI assigned
Nov 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 11248161 CA Primary

Addresses

Primary practice location

2719 Woolsey St
Berkeley, CA 94705-2606

Mailing address

2719 Woolsey St
Berkeley, CA 94705-2606
Phone (415) 819-9769

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

State licenses

LicenseStateTypeSpecialty
11248161CAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1351987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351987200000",
    "number": "1033463633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 WOOLSEY ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052606",
            "telephone_number": "415-819-9769",
            "fax_number": "253-830-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 WOOLSEY ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052606",
            "telephone_number": "415-819-9769",
            "fax_number": "253-830-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWERIN",
        "first_name": "ELLEN",
        "middle_name": "HILARY",
        "name_prefix": "Ms.",
        "credential": "MPH, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-04",
        "last_updated": "2012-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "11248161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2012; 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.