Rachel Fitzmaurice Von Doepp, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-136056 Issued in CA

Practice address

60 Clark St
San Rafael, CA 94901-3654

Phone

(415) 451-1845

NPI assigned

Oct 30, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rachel Von Doepp CD, Cle

  • Home Health Agency
  • San Rafael, CA
  • NPI 1205367562
  NPD (past) Authorized official

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1447894654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CLARK ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013654",
            "telephone_number": "415-451-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CLARK ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013654",
            "telephone_number": "415-451-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON DOEPP",
        "first_name": "RACHEL",
        "middle_name": "FITZMAURICE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-136056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rvondoepp@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "60 Clark St",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949013654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Vissering, LPCC, LMHC, PPSC
• Anne Marie Vitale, PHD
• Alisha Jean Vogt, LMFT
• Sheba Vohra, M.D.
• Nadia Smith Volk
• Otto A. Von Franque, MD
• Skylar Vos
• Ruth Ann Vosmek, LCSW
• Lauren Vreeland-Long
• Duy D. Vu, PSY.D.

• Lactation Consultant (Non-RN) in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.