Organization Active NPI

Colleen Knows Breast

  • Lactation Consultant (Registered Nurse)
  • Martinez, CA
National Provider Identifier
1841754025
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
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

Updated by the provider on Feb 5, 2020

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)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.