NPIMap

Organization Active NPI

Blue Ridge Breastfeeding LLC

  • Lactation Consultant (Non-RN)
  • Hagerstown, MD
National Provider Identifier
1104280445
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-61291 Issued in VA
Legal business name
BLUE RIDGE BREASTFEEDING LLC
Practice address
11121 Suffolk Dr
Hagerstown, MD 21742-4065
Phone
(301) 744-9566
NPI assigned
Apr 13, 2016
Last updated
Apr 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Megan O'Reilly, IBCLCNPI 1124419445
Title
Member
Phone
(301) 744-9566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X L-61291 VA Primary

Addresses

Primary practice location

11121 Suffolk Dr
Hagerstown, MD 21742-4065

Mailing address

11121 Suffolk Dr
Hagerstown, MD 21742-4065
Phone (301) 744-9566

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1104280445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 SUFFOLK DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217424065",
            "telephone_number": "301-744-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 SUFFOLK DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217424065",
            "telephone_number": "301-744-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE BREASTFEEDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-744-9566",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "VA",
            "license": "L-61291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.