Lisa Mathews, RD, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

811 Grand Ave Ste a-4
Sacramento, CA 95838-3466

Phone

(916) 875-2133

NPI assigned

Oct 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Sacramento

  • Lactation Consultant (Non-RN)
  • Sacramento, CA
  • NPI 1144850173

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1184268435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CELEBRATION CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 GRAND AVE STE A-4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383466",
            "telephone_number": "916-875-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 Bowling Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232034",
            "country_code": "US",
            "telephone_number": "916-875-2133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Celebration Ct",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957479529",
            "country_code": "US",
            "telephone_number": "530-218-1378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10665 Coloma Rd",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956704086",
            "country_code": "US",
            "telephone_number": "916-875-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "RD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A'Mari Mathews
• Dashanique Monae Mathews
• Debra Jewel Mathews, RADT
• Ethan Mathews, MD
• John Marcus Mathews, RRW
• Lauren Amy Mathewson, N.D.
• Tyler Hans Mathiesen, BCBA
• Courtney Mathis
• Dereka Isyiss Mayome Mathis
• Gabriele Charlotte Mathis

• Lactation Consultant (Non-RN) in Sacramento, CA
• Providers in Sacramento, 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 Oct 30, 2019; 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.