Individual provider Active NPI

Sophia Taylor, LPN,IBCLC

  • Licensed Practical Nurse
  • Raleigh, NC
National Provider Identifier
1154043602
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
89069 Issued in NC
Practice address
7272 Shellburne Dr
Raleigh, NC 27612-2480
Phone
(919) 862-3479
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-311772 NC
Licensed Practical Nurse 164W00000X 89069 NC Primary

Addresses

Primary practice location

7272 Shellburne Dr
Raleigh, NC 27612-2480

Mailing address

7272 Shellburne Dr
Raleigh, NC 27612-2480
Phone (919) 862-3479

Other identifiers 3

IdentifierTypeStateIssuer
89069OtherNCLICENSED PRACTICAL NURSE
330702OtherNCCERTIFIED LACTATION COUNSELOR CLC THROUGH ALPP
L-311772OtherNCIBLCE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://ho7m4e.intakeq.com

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
89069NCMDLicensed Practical Nurse
L-311772NCMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Relatable Lactation LLC Lactation Consultant, Non-RN CurrentSince Nov 26, 2023 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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1154043602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7272 SHELLBURNE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122480",
            "telephone_number": "919-862-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7272 SHELLBURNE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122480",
            "telephone_number": "919-862-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SOPHIA",
        "credential": "LPN,IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NC",
            "license": "L-311772",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "89069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PRACTICAL NURSE",
            "identifier": "89069",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED LACTATION COUNSELOR CLC THROUGH ALPP",
            "identifier": "330702",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBLCE",
            "identifier": "L-311772",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ho7m4e.intakeq.com",
            "affiliation": "N",
            "endpointDescription": "IntakeQ",
            "address_1": "7272 Shellburne Dr",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276122480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.