Alexandra Queiroz, RN IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

495972 Issued in CA

Practice address

1420 E Roseville Pkwy Ste 140-190
Roseville, CA 95661-3078

Phone

(279) 900-7093

NPI assigned

Feb 4, 2021

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

Other names 1

• Alexandra Ryan Former name

Electronic endpoints 1

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1972195600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E ROSEVILLE PKWY STE 140-190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613078",
            "telephone_number": "279-900-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E ROSEVILLE PKWY STE 140-190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613078",
            "telephone_number": "279-900-7093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Kristou Ct",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956613971",
            "country_code": "US",
            "telephone_number": "279-900-7093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEIROZ",
        "first_name": "ALEXANDRA",
        "credential": "RN IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "495972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.alexandraqueiroz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "online services",
            "address_1": "1420 E Roseville Pkwy Ste 140-190",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956613078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "RYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nyah Naakordei Quaye
• Allison Quesnell Boman
• Michael Quezada
• Benjamin Angelo Deriada Quiamco, M.D.
• Nathan Kyle Criseno Quintana, DC
• Leila Renee Quintero

• Lactation Consultant (Registered Nurse) in Roseville, CA
• Providers in Roseville, 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 May 31, 2021; 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.