Individual provider Active NPI

Christina Berlett, RN IBCLC

  • Lactation Consultant (Registered Nurse)
  • White Hall, MD
National Provider Identifier
1013586502
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
R167672 Issued in MD
Practice address
2 Keil Manor CT
White Hall, MD 21161-9113
Phone
(443) 604-1449
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R167672 MD
Lactation Consultant (Non-RN) 174N00000X L-137272 MD
Lactation Consultant (Registered Nurse) 163WL0100X R167672 MD Primary

Addresses

Primary practice location

2 Keil Manor CT
White Hall, MD 21161-9113

Mailing address

2 Keil Manor CT
White Hall, MD 21161-9113
Phone (443) 604-1449

Other identifiers 1

IdentifierTypeStateIssuer
R167672OtherMDRN

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL whitehall Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R167672MDMDRegistered Nurse
L-137272MDMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1013586502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KEIL MANOR CT",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211619113",
            "telephone_number": "443-604-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KEIL MANOR CT",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211619113",
            "telephone_number": "443-604-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLETT",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "RN IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R167672",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MD",
            "license": "L-137272",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "R167672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "R167672",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "whitehall",
            "affiliation": "N",
            "endpointDescription": "milk notes on computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Keil Manor Ct",
            "city": "White Hall",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211619113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.