Individual provider Active NPI

Pamela R Ramirez Roca, IBCLC

  • Lactation Consultant (Non-RN)
  • Watkinsville, GA
National Provider Identifier
1164224408
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-311183 Issued in GA
Practice address
128 Muscat CT
Watkinsville, GA 30677-2476
Phone
(678) 471-5675
NPI assigned
Mar 26, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-311183 GA Primary

Addresses

Primary practice location

128 Muscat CT
Watkinsville, GA 30677-2476

Mailing address

128 Muscat CT
Watkinsville, GA 30677-2476
Phone (678) 471-5675

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-311183GAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1164224408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MUSCAT CT",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772476",
            "telephone_number": "678-471-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MUSCAT CT",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772476",
            "telephone_number": "678-471-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ ROCA",
        "first_name": "PAMELA",
        "middle_name": "R",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L-311183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.