Organization Active NPI

Agnes Schaffer

Doing business as Radiant Lactation

  • Lactation Consultant (Registered Nurse)
  • Las Vegas, NV
National Provider Identifier
1194563643
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
Legal business name
AGNES SCHAFFER
Doing business as
Radiant Lactation
Practice address
9280 W Sunset Rd Ste 400
Las Vegas, NV 89148-4862
Phone
(725) 900-8613
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Mrs. Agnes Schaffer, BSN, RN, IBCLCNPI 1861232571
Title
RN Lactation Consultant
Phone
(815) 342-9154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X Primary

Addresses

Primary practice location

9280 W Sunset Rd Ste 400
Las Vegas, NV 89148-4862

Mailing address

11925 Luna del Mar LN
Las Vegas, NV 89138-4526
Phone (815) 342-9154

Other names 1

  • Radiant Lactation Doing business as

National Provider Directory

National Provider Directory

Locations

9280 W Sunset Rd
Ste 400
Las Vegas, NV 89148
Phone (702) 366-1268

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1194563643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11925 LUNA DEL MAR LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891384526",
            "telephone_number": "815-342-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 W SUNSET RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484862",
            "telephone_number": "725-900-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNES SCHAFFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "RN LACTATION CONSULTANT",
        "authorized_official_telephone_number": "815-342-9154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Lactation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.