Individual provider Active NPI

Teresa Lynn Rein, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Paradise, CA
National Provider Identifier
1366167892
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
469756 Issued in CA
Practice address
5923 Clark Rd Ste F
Paradise, CA 95969-4866
Phone
(530) 287-8222
Fax
(530) 237-0420
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 469756 CA Primary

Addresses

Primary practice location

5923 Clark Rd Ste F
Paradise, CA 95969-4866

Mailing address

5923 Clark Rd Ste F
Paradise, CA 95969-4866
Phone (530) 287-8222

Other identifiers 1

IdentifierTypeStateIssuer
L-26117OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS

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

LicenseStateTypeSpecialty
469756CAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1366167892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5923 CLARK RD STE F",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694866",
            "telephone_number": "530-287-8222",
            "fax_number": "530-237-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5923 CLARK RD STE F",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694866",
            "telephone_number": "530-287-8222",
            "fax_number": "530-237-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIN",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "469756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS",
            "identifier": "L-26117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.