Individual provider Active NPI

Nicole M Vazquez Miralla, IBCLC

  • Lactation Consultant (Non-RN)
  • Spartanburg, SC
National Provider Identifier
1154184604
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
2992 Reidville Rd
Spartanburg, SC 29301-5634
Phone
(864) 209-1064
Fax
(864) 606-6222
NPI assigned
Feb 6, 2024
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 Primary

Addresses

Primary practice location

2992 Reidville Rd
Spartanburg, SC 29301-5634

Mailing address

2992 Reidville Rd
Spartanburg, SC 29301-5634
Phone (864) 209-1064

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicole@hubcitylactation.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hub City Lactation, LLC Lactation Consultant, Non-RN CurrentSince Aug 25, 2024 Accepting new patients
Wentzel, LLC Lactation Consultant, Non-RN PastSince Sep 14, 2025 Accepting new patients
LNC Health, LLC PastSince Sep 14, 2025 Accepting new patients

Locations

2992 Reidville Rd
Spartanburg, SC 29301
Phone (864) 209-1064

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1154184604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2992 REIDVILLE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015634",
            "telephone_number": "864-209-1064",
            "fax_number": "864-606-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2992 REIDVILLE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015634",
            "telephone_number": "864-209-1064",
            "fax_number": "864-606-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ MIRALLA",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@hubcitylactation.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2992 Reidville Rd",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293015634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.