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
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, IBCLC
Title
Member
Phone
(301) 744-9566

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

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.