Jennifer W Rousseau, RN,IBCLC,
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Cotati, CA
NPI 1194352724 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1194352724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- L31827 (CA)
- Practice address
- 134 Hahn Way
Cotati, CA 94931-5313 - Phone
- (415) 306-3051
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L31827 | CA | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L31827 | CA | Yes |
Addresses
Primary practice location
134 Hahn Way
Cotati, CA 94931-5313
Mailing address
134 Hahn Way
Cotati, CA 94931-5313
Other providers in Cotati, CA
- Dominique Elizabeth Ratto
- Ashley Reich
- Brittany Allison Richardson
- Eliana Rivera
- Liliana Leah Rosen
- Scott Alexander Rudell Sr.
- Alejandra Ruiz
- Soraya Saffarinia
- Monica Monzerrat Salas-Diaz
- Cristin Seppa
All providers in Cotati, CA · Lactation Consultant (Registered Nurse) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.