Individual provider Active NPI

Aleksandra Bednarek Varadarajan, CLC

  • Lactation Consultant (Non-RN)
  • Campbell, CA
National Provider Identifier
1902293160
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
ALPP-207895 Issued in MA
Practice address
1310 W San Tomas Aquino Rd
Campbell, CA 95008-4424
Phone
(650) 336-4954
NPI assigned
Apr 24, 2015
Last updated
Apr 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X ALPP-207895 MA Primary

Addresses

Primary practice location

1310 W San Tomas Aquino Rd
Campbell, CA 95008-4424

Mailing address

1310 W San Tomas Aquino Rd
Campbell, CA 95008-4424
Phone (650) 336-4954

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
ALPP-207895MAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Mommy Made Me LLC Lactation Consultant, Non-RN Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1902293160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W SAN TOMAS AQUINO RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084424",
            "telephone_number": "650-336-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W SAN TOMAS AQUINO RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084424",
            "telephone_number": "650-336-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAREK VARADARAJAN",
        "first_name": "ALEKSANDRA",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MA",
            "license": "ALPP-207895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.