Third Coast Lactation LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

041389385 Issued in IL

Legal business name

THIRD COAST LACTATION LLC

Practice address

4925 N Leavitt St
Chicago, IL 60625-1308

Phone

(312) 380-9638

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Elizabeth Kelly, MS, RN, IBCLCNPI 1568680312

Title

Lactation Consultant & Founder

Phone

(440) 554-9321

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Kelly, MS, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Chicago, IL
  • NPI 1568680312
  NPD (past) Authorized official

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1194101220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 N LEAVITT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251308",
            "telephone_number": "312-380-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 N LEAVITT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251308",
            "telephone_number": "312-380-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LACTATION CONSULTANT & FOUNDER",
        "authorized_official_telephone_number": "440-554-9321",
        "authorized_official_credential": "MS, RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041389385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Thin, PHARM.D.
• Sruthi Thinakkal, LCSW
• Sonam Thind
• Think Smart Therapy PLLC
• Jyothirmayi Thippana, MD
• Third Coast Psychological Services, PLLC
• Third Coast RX LLC
• Third Coast RX LLC
• Third Coast Wellness
• Third Culture Counseling PLLC

• Lactation Consultant (Registered Nurse) in Chicago, IL
• Providers in Chicago, IL by specialty
• Lactation Consultant (Registered Nurse) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.