Andrea Nita Herron, R.N., C.P.N.P

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L190788 Issued in CA

Practice address

1230 Marsh St
San Luis Obispo, CA 93401-3326

Phone

(805) 543-6988

Fax

(805) 543-6692

NPI assigned

Dec 5, 2006

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

Other identifiers 2

Other names 1

• Miss Andrea Nita Goose Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477611283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013326",
            "telephone_number": "805-543-6988",
            "fax_number": "805-543-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013326",
            "telephone_number": "805-543-6988",
            "fax_number": "805-543-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "ANDREA",
        "middle_name": "NITA",
        "name_prefix": "Mrs.",
        "credential": "R.N., C.P.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "L190788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME 02129F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0028100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GOOSE",
            "middle_name": "NITA",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Silvia Elisa Herrera Espinoza
• Henry A Herrera
• Kasandra Monserrath Herrera
• Sandra Lynn Herrera, M.S.W., L.C.S.W.
• Nicholas Herring, RBT
• Larry D Herron, M.D.
• Robert Jeffrey Herten, MD
• Martin Lee Hetland, OD
• Tiffani Hetrick
• Robert J Hetzel, M.D.

• Lactation Consultant (Registered Nurse) in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 Jul 9, 2007; 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.