Organization Active NPI

Bluebonnet Lactation LLC

  • Lactation Consultant (Non-RN)
  • Austin, TX
National Provider Identifier
1053031609
Registry record updated Sep 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
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

Updated by the provider on Sep 4, 2022

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

Authorized official

Name
Heather Rae Dugan, IBCLCNPI 1871136895
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)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address admin@bluebonnetlactation.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.