Serena F Meyer, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

95048954 Issued in CA

Practice address

5425 Martis CT
El Sobrante, CA 94803-3441

Phone

(510) 612-4000

Fax

(510) 213-6680

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1306113881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 MARTIS COURT",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "94803",
            "telephone_number": "510-612-4000",
            "fax_number": "510-275-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 MARTIS CT",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033441",
            "telephone_number": "510-612-4000",
            "fax_number": "510-213-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SERENA",
        "middle_name": "F",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "95048954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Crowley McWalters, PH.D.
• Richard Kevin Medford
• Erick Jonathan Medrano
• Izuchukwu L Megwa
• Yahir Melendez
• Sarah Mitchell
• Bianca Dolores Montanez
• Adam Morgenthaler
• Elana Morgulis
• Omera Naz, D D S.

• Lactation Consultant (Registered Nurse) in El Sobrante, CA
• Providers in El Sobrante, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.