Individual provider Active NPI

Tara Czapla, IBCLC

  • Lactation Consultant (Non-RN)
  • Chicago, IL
National Provider Identifier
1023892650
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-148668 Issued in ID
Practice address
1621 W Carroll Ave
Chicago, IL 60612-2501
Phone
(208) 777-6455
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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-148668 ID Primary

Addresses

Primary practice location

1621 W Carroll Ave
Chicago, IL 60612-2501

Mailing address

935 N Cimmaron St
Post Falls, ID 83854-6047
Phone (208) 518-8581

Other identifiers 1

IdentifierTypeStateIssuer
L-148668OtherIBLCE

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

State licenses

LicenseStateTypeSpecialty
L-148668IDMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1023892650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 N CIMMARON ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546047",
            "telephone_number": "208-518-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122501",
            "telephone_number": "208-777-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAPLA",
        "first_name": "TARA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "ID",
            "license": "L-148668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBLCE",
            "identifier": "L-148668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.