Individual provider Active NPI

Guramrit K Lebron, IBCLC

  • Lactation Consultant (Non-RN)
  • Brooklyn, NY
National Provider Identifier
1063284370
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-316439 Issued in NY
Practice address
1000 Dean St
Brooklyn, NY 11238-3381
Phone
(646) 450-0875
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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-316439 NY Primary

Addresses

Primary practice location

1000 Dean St
Brooklyn, NY 11238-3381

Mailing address

86 Mountain View Dr
Holmes, NY 12531-5452
Phone (646) 416-2877

Other practice location 1

3307 Rochambeau Ave
Bronx, NY 10467-2804
Phone (646) 416-2877

Other practice location 2

86 Mountain View Dr
Holmes, NY 12531-5452
Phone (646) 416-2877

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-316439NYMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1063284370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MOUNTAIN VIEW DR",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "125315452",
            "telephone_number": "646-416-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DEAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383381",
            "telephone_number": "646-450-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3307 Rochambeau Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672804",
            "country_code": "US",
            "telephone_number": "646-416-2877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Mountain View Dr",
            "address_purpose": "LOCATION",
            "city": "Holmes",
            "state": "NY",
            "postal_code": "125315452",
            "country_code": "US",
            "telephone_number": "646-416-2877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBRON",
        "first_name": "GURAMRIT",
        "middle_name": "K",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NY",
            "license": "L-316439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.