Individual provider Active NPI

Shilicia McFowland, RN, IBCLC

  • Registered Nurse
  • Dunwoody, GA
National Provider Identifier
1013628106
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
13-119516-112 Issued in KS
Practice address
4814 Springfield Dr
Dunwoody, GA 30338-4914
Phone
(405) 816-0389
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-135799 KS
Registered Nurse 163W00000X 13-119516-112 KS Primary

Addresses

Primary practice location

4814 Springfield Dr
Dunwoody, GA 30338-4914

Mailing address

4814 Springfield Dr
Dunwoody, GA 30338-4914

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://go.lactationnetwork.com/RoyalNursing Health Information Exchange (HIE)

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
13-119516-112KSMDRegistered Nurse
L-135799KSMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1013628106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 SPRINGFIELD DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 SPRINGFIELD DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384914",
            "telephone_number": "405-816-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFOWLAND",
        "first_name": "SHILICIA",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "KS",
            "license": "L-135799",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-119516-112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://go.lactationnetwork.com/RoyalNursing",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4814 Springfield Dr",
            "city": "Dunwoody",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303384914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.