Susan Jean Train, RN IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L67288 Issued in CA

Practice address

10121 Pine Ave
2ND Floor Gene Upshaw Memorial Tahoe Forest Cancer Cent
Truckee, CA 96161

Phone

(530) 582-3297

Fax

(530) 587-1444

NPI assigned

Apr 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1639799190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "address_2": "2ND FLOOR GENE UPSHAW MEMORIAL TAHOE FOREST CANCER CENT",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "96161",
            "telephone_number": "530-582-3297",
            "fax_number": "530-587-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "address_2": "2ND FLOOR GENE UPSHAW MEMORIAL TAHOE FOREST CANCER CENT",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "96161",
            "telephone_number": "530-582-3297",
            "fax_number": "530-587-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAIN",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "credential": "RN IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "473267",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "L67288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory B. Tirdel, MD
• Nueformie Kollie Toe, PHARMD
• Keith William Tom
• Jarra Touray, MSW, LSWAIC
• Deborah R Towle, DC
• Barry Mark Triestman, D.C.
• Truckee Family Eyecare Optometry, Inc
• Truckee Fire Protection Dist of Nevada County
• Truckee Physical Therapy Inc
• Truckee Spinal Diagnostics

• Lactation Consultant (Registered Nurse) in Truckee, CA
• Providers in Truckee, 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 Apr 24, 2020; 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.