Individual provider Active NPI

Michelle Ann Lerager

  • Lactation Consultant (Registered Nurse)
  • Berkeley, CA
National Provider Identifier
1285824995
Registry record updated Jul 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
258000 Issued in CA
Practice address
1735 Blake St
Berkeley, CA 94703-1901
Phone
(510) 843-6497
NPI assigned
Jul 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 258000 CA Primary

Addresses

Primary practice location

1735 Blake St
Berkeley, CA 94703-1901

Mailing address

1735 Blake St
Berkeley, CA 94703-1901
Phone (510) 843-6497

Other names 1

  • Ms. Michelle Ann Lerager Professional name

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
258000CAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185667200000",
    "number": "1285824995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 BLAKE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031901",
            "telephone_number": "510-843-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 BLAKE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031901",
            "telephone_number": "510-843-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERAGER",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-29",
        "last_updated": "2007-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "258000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LERAGER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "R.N.,IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2007; 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.