Sharlene Mracek, RN, ICCE, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

548159 Issued in CA

Practice address

38750 Birch Creek LN
Yucaipa, CA 92399-9501

Phone

(909) 583-3555

NPI assigned

Nov 14, 2014

Last updated

Nov 14, 2014By the provider in NPPES

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": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1942606207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38750 BIRCH CREEK LN",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999501",
            "telephone_number": "909-583-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38750 BIRCH CREEK LN",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923999501",
            "telephone_number": "909-583-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRACEK",
        "first_name": "SHARLENE",
        "credential": "RN, ICCE, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "548159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Moruzzi
• Jennifer Mount, M.S., CCC-SLP
• Esther Moura
• Mervin Moya, D.D.S
• Monica Moyotl
• Cadey Mulligan
• Diana Muniz
• Melanie Murad, LMFT
• Trent Murguia
• Lisa Murray, RN

• Lactation Consultant (Registered Nurse) in Yucaipa, CA
• Providers in Yucaipa, 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 Nov 14, 2014; 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.