Individual provider Active NPI

Lisa R Meyer-Jones, RN IBCLC CLE LCCE

  • Lactation Consultant (Registered Nurse)
  • San Ramon, CA
National Provider Identifier
1720325152
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
630037 Issued in CA
Practice address
417 Pinenut CT
San Ramon, CA 94583-3544
Phone
(925) 323-3925
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 630037 CA Primary
Health Educator 174H00000X 12658 DC

Addresses

Primary practice location

417 Pinenut CT
San Ramon, CA 94583-3544

Mailing address

417 Pinenut CT
San Ramon, CA 94583-3544
Phone (925) 323-3925

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
630037CAMDLactation Consultant (Registered Nurse)
12658DCMDHealth Educator

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1720325152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 PINENUT CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833544",
            "telephone_number": "925-323-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 PINENUT CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833544",
            "telephone_number": "925-323-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER-JONES",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RN IBCLC CLE LCCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "630037",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "DC",
            "license": "12658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.