Debra Brender, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN454898 Issued in CA

Practice address

17270 Clara St
Monte Sereno, CA 95030-2266

Phone

(408) 250-9773

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1912415407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17270 CLARA ST",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950302266",
            "telephone_number": "408-250-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17270 CLARA ST",
            "city": "MONTE SERENO",
            "state": "CA",
            "postal_code": "950302266",
            "telephone_number": "408-250-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDER",
        "first_name": "DEBRA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "RN454898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Abel, MD
• Jeffrey Balfus, MD
• Nerissa Balzary
• Jerome Ira Block, M.D.
• Donna Heicher Conom, MD
• Henry J Fee, MD
• Rosalie Frankel, RPT
• Blythe Fukunaga-Block, P.T.
• Daniel J. Kanada, M.D.

• Lactation Consultant (Registered Nurse) in Monte Sereno, CA
• Providers in Monte Sereno, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.