Individual provider Active NPI

Vicki Baillon, MSN, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • San Antonio, TX
National Provider Identifier
1174038723
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-17728 Issued in TX
Practice address
15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983
Phone
(210) 646-1570
Fax
(281) 925-0648
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-17728 TX Primary

Addresses

Primary practice location

15303 Huebner Rd Ste 15
San Antonio, TX 78248-0983

Mailing address

Breastfeeding Housecalls and Lactation Clinic, LLC
PO Box 16167
San Antonio, TX 78212
Phone (210) 646-1570

Other identifiers 2

IdentifierTypeStateIssuer
L-17728OtherTXIBCLC
654792OtherTXTEXAS BOARD OF NURSING

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-17728TXMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Breastfeeding Housecalls and Lactation Clinic, LLC Past 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, 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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1174038723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BREASTFEEDING HOUSECALLS AND LACTATION CLINIC, LLC",
            "address_2": "PO BOX 16167",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78212",
            "telephone_number": "210-646-1570",
            "fax_number": "281-925-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15303 HUEBNER RD STE 15",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480983",
            "telephone_number": "210-646-1570",
            "fax_number": "281-925-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILLON",
        "first_name": "VICKI",
        "credential": "MSN, RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-17728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L-17728",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "654792",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.