Active NPI
Sophia Taylor, LPN,IBCLC
- Licensed Practical Nurse
- Raleigh, NC
National Provider Identifier
1154043602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 89069
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89069 | Other | NC | LICENSED PRACTICAL NURSE |
| 330702 | Other | NC | CERTIFIED LACTATION COUNSELOR CLC THROUGH ALPP |
| L-311772 | Other | NC | IBLCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 89069 | NC | MD | Licensed Practical Nurse |
| L-311772 | NC | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relatable Lactation LLC | Lactation Consultant, Non-RN | Current | 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.
-
- Lactation Consultant (Non-RN)
- Raleigh, NC
- NPI 1619742236
Lactation Consultant, Non-RN
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.