Sima Leah Duato, CAPPA, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

11099905

Practice address

14090 Winchester St
Oak Park, MI 48237-1362

Phone

(347) 661-8044

NPI assigned

Jun 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Susan Elizabeth Fleishman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1013237254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 WINCHESTER ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371362",
            "telephone_number": "347-661-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 WINCHESTER ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371362",
            "telephone_number": "347-661-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUATO",
        "first_name": "SIMA",
        "middle_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "CAPPA, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "11099905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FLEISHMAN",
            "middle_name": "ELIZABETH",
            "credential": "IBCLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lactation Consultant (Non-RN) in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Lactation Consultant (Non-RN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.