Individual provider Active NPI

Carolina Pimenta, RN, BSN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Ellicott City, MD
National Provider Identifier
1083044614
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-41575 Issued in MD
Practice address
7726 Chatfield LN
Ellicott City, MD 21043-7901
Phone
(410) 937-6827
Fax
(410) 807-8140
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 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 L-41575 MD Primary
Maternal Newborn Registered Nurse 163WM0102X R181355 MD

Addresses

Primary practice location

7726 Chatfield LN
Ellicott City, MD 21043-7901

Mailing address

7726 Chatfield LN
Ellicott City, MD 21043-7901
Phone (410) 937-6827

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-41575MDMDLactation Consultant (Registered Nurse)
R181355MDMDMaternal Newborn Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1083044614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 CHATFIELD LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437901",
            "telephone_number": "410-937-6827",
            "fax_number": "410-807-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 CHATFIELD LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437901",
            "telephone_number": "410-937-6827",
            "fax_number": "410-807-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTA",
        "first_name": "CAROLINA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "L-41575",
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "MD",
            "license": "R181355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.