Individual provider Active NPI

Randi Berry, BS, IBCLC

  • Lactation Consultant (Non-RN)
  • Humble, TX
National Provider Identifier
1154040970
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
19100 W Lake Houston Pkwy Ste 104
Humble, TX 77346-5139
Phone
(281) 626-8241
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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)Group: 193400000X SINGLE SPECIALTY GROUP 174N00000X Primary

Addresses

Primary practice location

19100 W Lake Houston Pkwy Ste 104
Humble, TX 77346-5139

Mailing address

19100 W Lake Houston Pkwy Ste 104
Humble, TX 77346-5139
Phone (281) 626-8241

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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Liquid Gold Lactation LLC Lactation Consultant, Non-RN CurrentSince Aug 28, 2022 Accepting new patients

Locations

19100 W Lake Houston Pkwy
Ste 104
Humble, TX 77346
Phone (281) 626-8241

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1154040970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 W LAKE HOUSTON PKWY STE 104",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465139",
            "telephone_number": "281-626-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19100 W LAKE HOUSTON PKWY STE 104",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465139",
            "telephone_number": "281-626-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "RANDI",
        "credential": "BS, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.