Benjamin Elias Nauceder, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

326292 Issued in NH

Practice address

104 Ridge St
Bishopville, SC 29010-1424

Phone

(603) 359-3686

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1083332746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIDGE ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101424",
            "telephone_number": "603-359-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RIDGE ST",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290101424",
            "telephone_number": "603-359-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUCEDER",
        "first_name": "BENJAMIN",
        "middle_name": "ELIAS",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NH",
            "license": "326292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in Bishopville, SC
• Providers in Bishopville, SC by specialty
• Lactation Consultant (Non-RN) in South Carolina

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