Nicolette Harridge, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN35157 Issued in NV

Practice address

1050 W Galleria Dr
Henderson, NV 89011-4800

Phone

(702) 963-7451

NPI assigned

Nov 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1124784939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S GIBSON RD APT 3312",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122670",
            "telephone_number": "702-626-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W GALLERIA DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890114800",
            "telephone_number": "702-963-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIDGE",
        "first_name": "NICOLETTE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NV",
            "license": "RN35157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Harouni, D.D.S.
• Harout V Gostanian DDS, MSD, PC
• Debbie Lucille Harper, APRN, FNP-C
• Nicholas Harper, CRNA
• Alisha Mae Harrell
• Dennis Harrigan
• Frances Agpaoa Harrington, APN
• Shannon Lee Harrington, BA., MA MFT
• Aaron Lawrence Harris, DC
• Ayanna Faye Harris

• Lactation Consultant (Registered Nurse) in Henderson, NV
• Providers in Henderson, NV by specialty
• Lactation Consultant (Registered Nurse) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.