Individual provider Active NPI

Lauren A Eaves, PHD IBCLC

  • Lactation Consultant (Non-RN)
  • Durham, NC
National Provider Identifier
1053018630
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-308286
Practice address
5317 Highgate Dr Ste 115
Durham, NC 27713-6622
Phone
(919) 864-8361
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 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-308286 Primary

Addresses

Primary practice location

5317 Highgate Dr Ste 115
Durham, NC 27713-6622

Mailing address

1234 Berkeley St
Durham, NC 27705-3531
Phone (919) 904-0273

Other identifiers 1

IdentifierTypeStateIssuer
L-308286OtherINTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT

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
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1053018630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BERKELEY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053531",
            "telephone_number": "919-904-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 HIGHGATE DR STE 115",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136622",
            "telephone_number": "919-864-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAVES",
        "first_name": "LAUREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-308286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT",
            "identifier": "L-308286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.