Active NPI
Carmelita Jessie, HOME HEALTH AIDE
- Lactation Consultant (Non-RN)
- Oakland, CA
National Provider Identifier
1174882203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 6820 Macarthur Blvd
Apartment # B
Oakland, CA 94605-2547 - Phone
- (510) 712-4699
- NPI assigned
- May 9, 2012
- 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 (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
6820 Macarthur Blvd
Apartment # B
Oakland, CA 94605-2547
Mailing address
6820 Macarthur Blvd
Apartment # B
Oakland, CA 94605-2547
Phone (510) 712-4699
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1174882203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6820 MACARTHUR BLVD",
"address_2": "APARTMENT # B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052547",
"telephone_number": "510-712-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 MACARTHUR BLVD",
"address_2": "APARTMENT # B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052547",
"telephone_number": "510-712-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESSIE",
"first_name": "CARMELITA",
"name_prefix": "Ms.",
"credential": "HOME HEALTH AIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.