Individual provider Active NPI

Susan R. O'Hara-Brill, IBCLC, RLC

  • Specialist
  • Chapel Hill, NC
National Provider Identifier
1174731301
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
100-16735 Issued in NC
Practice address
113 Hidden Valley Dr
Chapel Hill, NC 27516-8949
Phone
(919) 423-8943
Fax
(919) 967-6928
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 100-16735 NC Primary

Addresses

Primary practice location

113 Hidden Valley Dr
Chapel Hill, NC 27516-8949

Mailing address

113 Hidden Valley Dr
Chapel Hill, NC 27516-8949
Phone (919) 423-8943

Other identifiers 1

IdentifierTypeStateIssuer
100-16735OtherNCREGISTERED LACTATION CONS

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
100-16735NCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174731301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HIDDEN VALLEY DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168949",
            "telephone_number": "919-423-8943",
            "fax_number": "919-967-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HIDDEN VALLEY DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168949",
            "telephone_number": "919-423-8943",
            "fax_number": "919-967-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA-BRILL",
        "first_name": "SUSAN",
        "middle_name": "R.",
        "credential": "IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "100-16735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED LACTATION CONS",
            "identifier": "100-16735",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.