Individual provider Active NPI

Brandi Ann Harrison, IBCLC

  • Lactation Consultant (Non-RN)
  • Sylva, NC
National Provider Identifier
1205325594
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-103766 Issued in NC
Practice address
494 W Main St
Sylva, NC 28779-5545
Phone
(770) 519-2903
Fax
(704) 209-7352
NPI assigned
May 2, 2018
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-103766 NC Primary

Addresses

Primary practice location

494 W Main St
Sylva, NC 28779-5545

Mailing address

494 W Main St
Sylva, NC 28779-5545
Phone (770) 519-2903

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-103766NCMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Birthstone Breastfeeding & Wellness Center, LLC Lactation Consultant, Non-RN CurrentSince Sep 24, 2023 Accepting new patients

Locations

494 W Main St
Sylva, NC 28779
Phone (770) 519-2903

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1205325594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 W MAIN ST",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795545",
            "telephone_number": "770-519-2903",
            "fax_number": "704-209-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 W MAIN ST",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795545",
            "telephone_number": "770-519-2903",
            "fax_number": "704-209-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "BRANDI",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NC",
            "license": "L-103766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.