NPIMap

Organization Active NPI

Nichole McCloy LLC Dba Fort Worth Lactation & Tongue Tie Specialists

  • Lactation Consultant (Registered Nurse)
  • Fort Worth, TX
National Provider Identifier
1003653916
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
NICHOLE MCCLOY LLC DBA FORT WORTH LACTATION & TONGUE TIE SPECIALISTS
Practice address
3420 Basswood Blvd Ste 130
Fort Worth, TX 76137-1467
Phone
(817) 304-0992
Fax
(817) 977-9073
NPI assigned
Jul 9, 2024
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nichole McCloy, RN IBCLCNPI 1801522123
Title
Owner
Phone
(303) 960-2422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Lactation Consultant (Registered Nurse) 163WL0100X NU Primary
Maternal Newborn Registered Nurse 163WM0102X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Lactation Consultant (Non-RN) 174N00000X NU

Addresses

Primary practice location

3420 Basswood Blvd Ste 130
Fort Worth, TX 76137-1467

Mailing address

8500 Sandy Park Dr
Fort Worth, TX 76179-3187
Phone (817) 304-0992

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1003653916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SANDY PARK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793187",
            "telephone_number": "817-304-0992",
            "fax_number": "817-977-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BASSWOOD BLVD STE 130",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371467",
            "telephone_number": "817-304-0992",
            "fax_number": "817-977-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLE MCCLOY LLC DBA FORT WORTH LACTATION & TONGUE TIE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "MCCLOY",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-960-2422",
        "authorized_official_credential": "RN IBCLC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.