Individual provider Active NPI

Clarice Anderson Sylvain, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Ann Arbor, MI
National Provider Identifier
1043417785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
4704136622 Issued in MI
Practice address
St. Joseph Mercy Hospital
5301 E. Huron River Drive
Ann Arbor, MI 48106-0995
Phone
(734) 712-4214
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 4704136622 MI Primary

Addresses

Primary practice location

St. Joseph Mercy Hospital
5301 E. Huron River Drive
Ann Arbor, MI 48106-0995

Mailing address

2886 Barclay Way
Ann Arbor, MI 48105-9455
Phone (734) 327-4835

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
4704136622MIMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043417785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 BARCLAY WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059455",
            "telephone_number": "734-327-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. JOSEPH MERCY HOSPITAL",
            "address_2": "5301 E. HURON RIVER DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481060995",
            "telephone_number": "734-712-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVAIN",
        "first_name": "CLARICE",
        "middle_name": "ANDERSON",
        "name_prefix": "Ms.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MI",
            "license": "4704136622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.