Ashley Elizabeth Heatherly, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

253746 Issued in IL

Practice address

6867 FM 1136
Orange, TX 77632-6547

Phone

(409) 238-1028

NPI assigned

Oct 4, 2018

Last updated

Oct 4, 2018By the provider in NPPES

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

Other names 1

• Ashley Tassin Former name

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1114492212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6867 FM 1136",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776326547",
            "telephone_number": "409-238-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6867 FM 1136",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776326547",
            "telephone_number": "409-238-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATHERLY",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "IL",
            "license": "253746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "TASSIN",
            "credential": "CLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lactation Consultant (Non-RN) in Orange, TX
• Providers in Orange, TX by specialty
• Lactation Consultant (Non-RN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.