Active NPI
Emily Perez, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Rohnert Park, CA
National Provider Identifier
1104761501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 95039216
- Practice address
- 5661 Kelsey PL
Rohnert Park, CA 94928-5012 - Phone
- (707) 953-8431
- NPI assigned
- Apr 22, 2026
- Last updated
- Jun 24, 2026
- 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 (Registered Nurse) | 163WL0100X | 95039216 | CA | Primary |
Addresses
Primary practice location
5661 Kelsey PL
Rohnert Park, CA 94928-5012
Mailing address
5661 Kelsey PL
Rohnert Park, CA 94928-5012
Phone (707) 953-8431
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95039216 | CA | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1104761501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5661 KELSEY PL",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949285012",
"telephone_number": "707-953-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5661 KELSEY PL",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949285012",
"telephone_number": "707-953-8431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "EMILY",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-22",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "95039216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rohnert Park, CA
- Neal Patel, D.D.S.
- Paula Shadid, O.D.
- Paula Pelavin, P.A.
- Nicole Lynn Penney
- Ryan Pepin
- Petaluma Health Center Inc (Rohnert Park Health Center)
- Petaluma Health Center, Inc (Rohnert Park Community Acupuncture)
- Petaluma Health Center, Inc. (Rohnert Park Health Center Pharmacy)
- Tanner Petersen
- Jennifer Lynn Peterson, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.