Active NPI
Sophie Talke
- Lactation Consultant (Non-RN)
- San Diego, CA
National Provider Identifier
1356839633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 3355 4TH Ave
San Diego, CA 92103-5703 - Phone
- (619) 724-4117
- NPI assigned
- Apr 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Lactation Consultant (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
3355 4TH Ave
San Diego, CA 92103-5703
Mailing address
4517 Orchard Ave
San Diego, CA 92107-3530
Other practice location 1
4517 Orchard Ave
San Diego, CA 92107-3530
Phone (510) 541-7674
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1356839633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4517 ORCHARD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921073530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035703",
"telephone_number": "619-724-4117"
}
],
"practiceLocations": [
{
"address_1": "4517 Orchard Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921073530",
"country_code": "US",
"telephone_number": "510-541-7674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALKE",
"first_name": "SOPHIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"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 Oct 18, 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.