Laci Ann Tang, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-146175

Practice address

5221 Concordia St
Fairfax, VA 22032-3409

Phone

(661) 202-7545

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Milk in Motion

  • Lactation Consultant (Non-RN)
  • Vienna, VA
  • NPI 1083417562

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1083214357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 CONCORDIA ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323409",
            "telephone_number": "661-202-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 CONCORDIA ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323409",
            "telephone_number": "661-202-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "LACI",
        "middle_name": "ANN",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-146175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.intakeq.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "5221 Concordia St",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220323409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Claudia Talton
• Tammy Jones MD PLLC
• Jeremias C Tan, M.D.
• Mala K. Tandon, PSY.D
• Mark P. Tanenbaum, M.D.
• Yen Hoang Tang, MSN, FNP-C
• Jeannette Tao, M.D.
• Mariela Tapia Hernandez, M.ED, BCBA, LBA
• Rachel Elizabeth Tapp
• Mohamed Tarey

• Lactation Consultant (Non-RN) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Lactation Consultant (Non-RN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.