Individual provider Active NPI

Natalie Ruth Jebreel, IBCLC

  • Lactation Consultant (Non-RN)
  • Tarzana, CA
National Provider Identifier
1730892787
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-307322 Issued in CA
Practice address
5214 Yolanda Ave
Tarzana, CA 91356-4015
Phone
(310) 500-9608
NPI assigned
Jan 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic Technician 136A00000X 1109100 CA
Lactation Consultant (Non-RN) 174N00000X L-307322 CA Primary

Addresses

Primary practice location

5214 Yolanda Ave
Tarzana, CA 91356-4015

Mailing address

5214 Yolanda Ave
Tarzana, CA 91356-4015
Phone (310) 500-9608

Other practice location 1

5214 Yolanda Ave
Tarzana, CA 91356-4015
Phone (310) 500-9608

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

LicenseStateTypeSpecialty
1109100CAMDRegistered Dietetic Technician
L-307322CAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1730892787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 YOLANDA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564015",
            "telephone_number": "310-500-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 YOLANDA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564015",
            "telephone_number": "310-500-9608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5214 Yolanda Ave",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913564015",
            "country_code": "US",
            "telephone_number": "310-500-9608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEBREEL",
        "first_name": "NATALIE",
        "middle_name": "RUTH",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "CA",
            "license": "1109100",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-307322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

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