Pcos Nutrition & Lactation Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PCOS NUTRITION & LACTATION SERVICES

Practice address

2658 Pern PL
Santa Rosa, CA 95404-5443

Phone

(707) 314-3048

NPI assigned

Mar 9, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keila Marina Kerns, RD, IBCLCNPI 1346940665

Title

Business Owner

Phone

(707) 227-6518

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keila Marina Kerns

  • Registered Dietitian
  • Santa Rosa, CA
  • NPI 1346940665
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1619677366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 PERN PL",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 PERN PL",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045443",
            "telephone_number": "707-314-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCOS NUTRITION & LACTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "KERNS",
        "authorized_official_first_name": "KEILA",
        "authorized_official_middle_name": "MARINA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "707-227-6518",
        "authorized_official_credential": "RD, IBCLC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Morgan Payne, DDS
• Lemlem W Payne, NURSE PRACTITIONER
• Michele Payne
• Pazera Family Chiropractic, Inc.
• Karen Beth Pazera, DC
• Stephanie Peacock, DC
• Jeannette Elizabeht Pearce, MS, MFT
• Katherine Anne Pearlstein
• Andrew E Pearson, PSYD
• Clare Chatland Pearson, M.D.

• Home Health Agency in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.