Active NPI
Rebecca Pancake
- Lactation Consultant (Non-RN)
- Thousand Oaks, CA
National Provider Identifier
1043601032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-60388
- Practice address
- 2499 Chaucer PL
Thousand Oaks, CA 91362-5301 - Phone
- (805) 906-9411
- NPI assigned
- Feb 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-60388 | CA | Primary |
Addresses
Primary practice location
2499 Chaucer PL
Thousand Oaks, CA 91362-5301
Mailing address
2499 Chaucer PL
Thousand Oaks, CA 91362-5301
Phone (805) 906-9411
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-60388 | CA | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1043601032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2499 CHAUCER PL",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913625301",
"telephone_number": "805-906-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2499 CHAUCER PL",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913625301",
"telephone_number": "805-906-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANCAKE",
"first_name": "REBECCA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "L-60388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.