Individual provider Active NPI

Sandra Jardine Dry, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Apopka, FL
National Provider Identifier
1073947511
Registry record updated Aug 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
11136027 Issued in FL
Practice address
3641 Rolling Hills LN
Apopka, FL 32712-4781
Phone
(407) 256-1599
NPI assigned
Aug 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN9266766 FL
Lactation Consultant (Registered Nurse) 163WL0100X 11136027 FL Primary

Addresses

Primary practice location

3641 Rolling Hills LN
Apopka, FL 32712-4781

Mailing address

3641 Rolling Hills LN
Apopka, FL 32712-4781
Phone (407) 256-1599

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
11136027FLMDLactation Consultant (Registered Nurse)
RN9266766FLMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Breastfeeding Comfort Services Lactation Consultant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377907200000",
    "number": "1073947511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 ROLLING HILLS LN",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124781",
            "telephone_number": "407-256-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 ROLLING HILLS LN",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124781",
            "telephone_number": "407-256-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRY",
        "first_name": "SANDRA",
        "middle_name": "JARDINE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-31",
        "last_updated": "2013-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN9266766",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "11136027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; 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.