Active NPI
Roseanne M Campbell, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- San Diego, CA
National Provider Identifier
1316447584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 355684
- Practice address
- 3355 4TH Avenue
San Diego Breast Feeding Center
San Diego, CA 92103 - Phone
- (760) 696-2471
- NPI assigned
- Feb 14, 2018
- Last updated
- Feb 14, 2018
- 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 (Registered Nurse) | 163WL0100X | 355684 | CA | Primary |
Addresses
Primary practice location
3355 4TH Avenue
San Diego Breast Feeding Center
San Diego, CA 92103
Mailing address
8865 Promenade North Place
San Diego, CA 92123
Phone (760) 696-2471
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355684 | CA | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518566400000",
"number": "1316447584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8865 PROMENADE NORTH PLACE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "760-696-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 4TH AVENUE",
"address_2": "SAN DIEGO BREAST FEEDING CENTER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "760-696-2471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "ROSEANNE",
"middle_name": "M",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "355684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.