Brooklynn Fay Gonzales, RN, IBCLC
Registered Nurse, Lactation Consultant in Roseville, CA. Individual provider (NPI-1).
NPI number1619672136
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1619672136
- Entity type
- Individual (NPI-1)
- Name
- Brooklynn Fay Gonzales
- Credential
- RN, IBCLC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WL0100X | Registered Nurse, Lactation Consultant | 95085152 | CA | Yes |
Practice location
1472 Morning Glory LnRoseville, CA 95747-7532
Phone 916-805-7227
Mailing address
1472 Morning Glory LnRoseville, CA 95747-7532
Phone 916-805-7227
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Lactation Consultant (Registered Nurse) providers in Roseville, CA
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All 5 Lactation Consultant (Registered Nurse) providers in Roseville · All 6,478 providers in Roseville
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