Individual provider Active NPI

Michelle Elaine Doerr, IBCLC/RN

  • Lactation Consultant (Registered Nurse)
  • Cedar Park, TX
National Provider Identifier
1104541747
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-303660 Issued in TX
Practice address
301 Brushy Creek Rd Ste 106
Cedar Park, TX 78613-3151
Phone
(512) 765-9959
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-303660 TX Primary

Addresses

Primary practice location

301 Brushy Creek Rd Ste 106
Cedar Park, TX 78613-3151

Mailing address

306 Apache TRL
Leander, TX 78641-2387
Phone (512) 497-3177

Other names 1

  • Shelli Elaine Doerr Other name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-303660TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Babies 411 LLC Lactation Consultant CurrentSince Oct 9, 2022 Accepting new patients

Locations

301 Brushy Creek Rd
Ste 106
Cedar Park, TX 78613
Phone (512) 765-9599

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1104541747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 APACHE TRL",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412387",
            "telephone_number": "512-497-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRUSHY CREEK RD STE 106",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133151",
            "telephone_number": "512-765-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "MICHELLE",
        "middle_name": "ELAINE",
        "credential": "IBCLC/RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-303660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLI",
            "last_name": "DOERR",
            "middle_name": "ELAINE",
            "credential": "IBCLC/RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.