Individual provider Active NPI

Sarah Marie Glenn, IBCLC, CCE, CD, RYT

  • Lactation Consultant (Non-RN)
  • Summerville, SC
National Provider Identifier
1194017483
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-20173 Issued in SC
Practice address
1907 Varner St Ste C2
Summerville, SC 29486-8104
Phone
(570) 350-7327
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Lactation Consultant (Non-RN) 174N00000X L-20173 SC Primary

Addresses

Primary practice location

1907 Varner St Ste C2
Summerville, SC 29486-8104

Mailing address

1907 Varner St Ste C2
Summerville, SC 29486-8104
Phone (570) 350-7327

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
L-20173SCMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Lactation Station & More Lactation Consultant, Non-RN CurrentSince Apr 13, 2025 Accepting new patients

Locations

1907 Varner St
Ste C2
Summerville, SC 29486
Phone (414) 839-9220

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": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1194017483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 VARNER ST STE C2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868104",
            "telephone_number": "570-350-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 VARNER ST STE C2",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868104",
            "telephone_number": "570-350-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "IBCLC, CCE, CD, RYT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "SC",
            "license": "L-20173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.