Brandi Jordan, MS, RD, LDN, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-96583 Issued in NU

Practice address

12620 Creekside Lake CV
Arlington, TN 38002-1521

Phone

(573) 429-8902

NPI assigned

Nov 19, 2013

Last updated

Dec 9, 2021By 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 2

Addresses

Other names 1

• Brandi Pigg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1144650623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12620 CREEKSIDE LAKE CV",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380021521",
            "telephone_number": "573-429-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12620 CREEKSIDE LAKE CV",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380021521",
            "telephone_number": "573-429-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BRANDI",
        "credential": "MS, RD, LDN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TN",
            "license": "2588",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": "L-96583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "PIGG",
            "credential": "MS, RD, LDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dennis Jaurigue
• Shella Jaurigue, PTA, CGIP
• Moniquea Johnson
• Amalia Jones, LCSW
• Candace Jones, EDD
• Jena Jordan, NP
• Jessica Kabat
• Leigh Taylor Kauker, DPT
• Nicol M King-Oliver
• Kimberly Koehler, RD

• Lactation Consultant (Non-RN) in Arlington, TN
• Providers in Arlington, TN by specialty
• Lactation Consultant (Non-RN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.