Active NPI
Bluebonnet Lactation LLC
- Lactation Consultant (Non-RN)
- Austin, TX
National Provider Identifier
1053031609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Legal business name
- BLUEBONNET LACTATION LLC
- Practice address
- 5009 Balcones Dr
Ste 7007
Austin, TX 78731 - Phone
- (512) 909-7522
- NPI assigned
- Sep 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Rae Dugan, IBCLC
- Title
- Owner/Operator
- Phone
- (512) 998-6347
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
5009 Balcones Dr
Ste 7007
Austin, TX 78731
Mailing address
5009 Balcones Dr
Ste 7007
Austin, TX 78731
Phone (512) 909-7522
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@bluebonnetlactation.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Lactation Consultant (Non-RN)
- Austin, TX
- NPI 1871136895
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662249600000",
"number": "1053031609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 BALCONES DR",
"address_2": "STE 7007",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-909-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 BALCONES DR",
"address_2": "STE 7007",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-909-7522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEBONNET LACTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-04",
"certification_date": "2022-09-04",
"status": "A",
"authorized_official_last_name": "DUGAN",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "512-998-6347",
"authorized_official_credential": "IBCLC"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@bluebonnetlactation.com",
"affiliation": "N",
"endpointDescription": "Company email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5009 Balcones Dr",
"address_2": "STE 7007",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "78731",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.