Seneca Isla Rose, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-307027 Issued in WA

Practice address

32513 Railroad Ave
Black Diamond, WA 98010-9762

Phone

(360) 851-9896

NPI assigned

Mar 16, 2023

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

State licenses

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1972204725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "98010",
            "telephone_number": "360-851-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32513 RAILROAD AVE",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980109762",
            "telephone_number": "360-851-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "SENECA",
        "middle_name": "ISLA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "WA",
            "license": "L-307027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Nelson, CCC-SLP
• Nicole Mariah Nielsen, DPT
• Heather Nicole O'Brien, LMP
• Private Healthcare Facilities
• Katie Marie Rhodes, RN, IBCLC
• Safeway Inc
• Kristine Scott, LMP
• Jillian Sipila
• Megan L Smart, ATC
• Marci Aileen Smith, LMT

• Lactation Consultant (Non-RN) in Black Diamond, WA
• Providers in Black Diamond, WA by specialty
• Lactation Consultant (Non-RN) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.