Individual provider Active NPI

Jodi Lynn Rosen, RN, IBCLC

  • Community Health Registered Nurse
  • Lancaster, CA
National Provider Identifier
1134541824
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
438120 Issued in CA
Practice address
44226 10TH St W
Lancaster, CA 93534-4134
Phone
(661) 433-3587
Fax
(661) 951-9715
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 438120 CA
Community Health Registered Nurse 163WC1500X 438120 CA Primary

Addresses

Primary practice location

44226 10TH St W
Lancaster, CA 93534-4134

Mailing address

44226 10TH St W
Lancaster, CA 93534-4134
Phone (661) 433-3587

Other practice location 1

1529 E Palmdale Blvd Ste 210
Palmdale, CA 93550-2029
Phone (661) 942-4719 ext. 106

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

LicenseStateTypeSpecialty
438120CAMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1134541824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44226 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344134",
            "telephone_number": "661-433-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44226 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344134",
            "telephone_number": "661-433-3587",
            "fax_number": "661-951-9715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1529 E Palmdale Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935502029",
            "country_code": "US",
            "telephone_number": "661-942-4719 x106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "438120",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "438120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

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