Sydney Evans

Individual provider Active NPI Lactation Consultant (Non-RN) · Roseboro, NC

NPI 1205617271 · NPPES record last updated Oct 6, 2023

Key facts

NPI
1205617271
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
352006 (NC)
Practice address
303 E Roseboro St
Roseboro, NC 28382
Phone
(910) 260-2050
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
352006NCMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Ohana Midwifery & Wellness, PLLC Lactation Consultant, Non-RN Current
since Oct 8, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 352006 NC Yes

Addresses

Primary practice location

303 E Roseboro St
Roseboro, NC 28382

Mailing address

PO Box 391
Salemburg, NC 28385-0391
Phone (813) 468-9975

Other providers in Roseboro, NC

All providers in Roseboro, NC · Lactation Consultant (Non-RN) in North Carolina

Sources for this page

Verify at the official NPI Registry.