Individual provider Active NPI

Emily Nicole Burkhead, IBCLC

  • Lactation Consultant (Non-RN)
  • Washington, DC
National Provider Identifier
1114740644
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-302713 Issued in GA
Practice address
1020 19TH St NW Ste 150
Washington, DC 20036-6103
Phone
(202) 293-5182
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-302713 GA Primary

Addresses

Primary practice location

1020 19TH St NW Ste 150
Washington, DC 20036-6103

Mailing address

7479 Collins Meade Way
Alexandria, VA 22315-5254
Phone (443) 752-6261

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

State licenses

LicenseStateTypeSpecialty
L-302713GAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Aeroflow Connect LLC Lactation Consultant, Non-RN Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1114740644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7479 COLLINS MEADE WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155254",
            "telephone_number": "443-752-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 19TH ST NW STE 150",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200366103",
            "telephone_number": "202-293-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHEAD",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L-302713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.