Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Shannon Roussos, IBCLC

Individual provider Lactation Consultant (Registered Nurse) · NPI 1740068758

Mrs. Shannon Roussos, IBCLC is a Lactation Consultant (Registered Nurse) in Sacramento, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

2479 Mabry Dr
Sacramento, CA 95835-1513
Phone: (443) 257-7846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 675696 (CA)

Record details

NPI number1740068758
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

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