Individual provider Active NPI

Anne Purdy Sillcocks, IBCLC

  • Lactation Consultant (Non-RN)
  • Larkspur, CA
National Provider Identifier
1013746262
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-315893
Practice address
700 Larkspur Landing Cir Ste 199
Larkspur, CA 94939-1754
Phone
(415) 226-9760
NPI assigned
Jul 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-315893 Primary

Addresses

Primary practice location

700 Larkspur Landing Cir Ste 199
Larkspur, CA 94939-1754

Mailing address

700 Larkspur Landing Cir Ste 199
Larkspur, CA 94939-1754

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Lactation LLC Lactation Consultant, Non-RN Current Accepting new patients

Locations

700 Larkspur Landing Cir
Ste 199
Larkspur, CA 94939
Phone (415) 226-9760

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1013746262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LARKSPUR LANDING CIR STE 199",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LARKSPUR LANDING CIR STE 199",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391754",
            "telephone_number": "415-226-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLCOCKS",
        "first_name": "ANNE",
        "middle_name": "PURDY",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-315893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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.