Active NPI
Colleen Knows Breast
- Lactation Consultant (Registered Nurse)
- Martinez, CA
National Provider Identifier
1841754025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- Legal business name
- COLLEEN KNOWS BREAST
- Practice address
- 6821 Waverly Rd
Martinez, CA 94553-6263 - Phone
- (650) 804-0859
- NPI assigned
- Jan 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen Randolph, RN
- Title
- RN/ LC
- Phone
- (650) 804-0859
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | Primary |
Addresses
Primary practice location
6821 Waverly Rd
Martinez, CA 94553-6263
Mailing address
6821 Waverly Rd
Martinez, CA 94553-6263
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580860800000",
"number": "1841754025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6821 WAVERLY RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945536263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6821 WAVERLY RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945536263",
"telephone_number": "650-804-0859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLEEN KNOWS BREAST",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-22",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A",
"authorized_official_last_name": "RANDOLPH",
"authorized_official_first_name": "COLLEEN",
"authorized_official_title_or_position": "RN/ LC",
"authorized_official_telephone_number": "650-804-0859",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.