Individual provider Active NPI

Charda Deniece Bell, IBCLC

  • Lactation Consultant (Non-RN)
  • Spring Valley, CA
National Provider Identifier
1083326417
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-309574 Issued in CA
Practice address
2108 Kings View Cir
Spring Valley, CA 91977-3351
Phone
(619) 993-0362
NPI assigned
Dec 16, 2022
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X CA
Community Health Worker 172V00000X CA
Clinic/Center 261Q00000X CA
Doula 374J00000X CA
Lactation Consultant (Non-RN) 174N00000X L-309574 CA Primary

Addresses

Primary practice location

2108 Kings View Cir
Spring Valley, CA 91977-3351

Mailing address

2108 Kings View Cir
Spring Valley, CA 91977-3351
Phone (619) 993-0362

Other practice location 1

704 Euclid Ave
San Diego, CA 92114-1014
Phone (619) 993-0362

Other practice location 2

8325 University Ave
LA Mesa, CA 91942-9322
Phone (619) 993-0362

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
L-309574CAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1083326417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 KINGS VIEW CIR",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773351",
            "telephone_number": "619-993-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 KINGS VIEW CIR",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773351",
            "telephone_number": "619-993-0362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921141014",
            "country_code": "US",
            "telephone_number": "619-993-0362",
            "fax_number": "888-375-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8325 University Ave",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919429322",
            "country_code": "US",
            "telephone_number": "619-993-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL",
        "first_name": "CHARDA",
        "middle_name": "DENIECE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-309574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.