Active NPI
Molly Rose Geisler-Juarez, LM, CPM, IBCLC, MAS
- Midwife
- Oakland, CA
National Provider Identifier
1720817380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM644
- Practice address
- 971 45TH St
Oakland, CA 94608-3413 - Phone
- (781) 718-7916
- NPI assigned
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-315239 | ||
| Midwife | 176B00000X | LM644 | CA | Primary |
Addresses
Primary practice location
971 45TH St
Oakland, CA 94608-3413
Mailing address
971 45TH St
Oakland, CA 94608-3413
Phone (781) 718-7916
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM644 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1720817380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 45TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946083413",
"telephone_number": "781-718-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 45TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946083413",
"telephone_number": "781-718-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISLER-JUAREZ",
"first_name": "MOLLY",
"middle_name": "ROSE",
"credential": "LM, CPM, IBCLC, MAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "L-315239",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.