Laura Crockett, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-151124 Issued in GA

Practice address

754 Virginia Cir NE
Atlanta, GA 30306-3712

Phone

(404) 561-5538

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Highland Lactation, LLC

  • Lactation Consultant (Non-RN)
  • Atlanta, GA
  • NPI 1306469275

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1194385054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 VIRGINIA CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 VIRGINIA CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063712",
            "telephone_number": "404-561-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "LAURA",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L-151124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura@atlantalactation.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "754 Virginia Cir NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303063712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frances Ann Critz, MD
• Meredith Pat Crizer, DPT
• Stacia Marie Crochet, M.D.
• Ian Crocker, MD
• Julie Crocker, RDH
• Barbara N. Croft, M.D.
• Dawn Marie Croft, CPNP-AC,APRN,RRT-NPS
• Ji NA Croft, RN
• Miriam Croft, D.C.
• Shannon S Croft, M.D.

• Lactation Consultant (Non-RN) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.