Linda Fodrey Barnes, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11133184 Issued in CA

Practice address

9350 Dauchy Ave
Riverside, CA 92508-9324

Phone

(951) 776-0180

NPI assigned

Jan 6, 2014

Last updated

Jan 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1144642497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 DAUCHY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089324",
            "telephone_number": "951-776-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 DAUCHY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089324",
            "telephone_number": "951-776-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODREY BARNES",
        "first_name": "LINDA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "11133184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "11133184",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in Riverside, CA
• Providers in Riverside, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.