Individual provider Active NPI

Jayme Danielle Vermilion, RD, IBCLC

  • Lactation Consultant (Non-RN)
  • Los Gatos, CA
National Provider Identifier
1083071377
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
17030 Melody LN
Los Gatos, CA 95033-8406
Phone
(209) 765-1460
NPI assigned
Jan 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

17030 Melody LN
Los Gatos, CA 95033-8406

Mailing address

17030 Melody LN
Los Gatos, CA 95033-8406
Phone (209) 765-1460

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

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1083071377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17030 MELODY LN",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950338406",
            "telephone_number": "209-765-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 MELODY LN",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950338406",
            "telephone_number": "209-765-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILION",
        "first_name": "JAYME",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "RD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.