Individual provider Active NPI

Tanya Marie Phillips, IBCLC, CD

  • Lactation Consultant (Non-RN)
  • Austin, TX
National Provider Identifier
1134420540
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
19915901 Issued in TX
Practice address
9874 Wier Loop Cir
Austin, TX 78736-7847
Phone
(512) 560-3732
Fax
(206) 666-5186
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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 19915901 TX Primary

Addresses

Primary practice location

9874 Wier Loop Cir
Austin, TX 78736-7847

Mailing address

9874 Wier Loop Cir
Austin, TX 78736-7847
Phone (512) 560-3732

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
19915901TXMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1134420540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9874 WIER LOOP CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787367847",
            "telephone_number": "512-560-3732",
            "fax_number": "206-666-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9874 WIER LOOP CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787367847",
            "telephone_number": "512-560-3732",
            "fax_number": "206-666-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "IBCLC, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TX",
            "license": "19915901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.