Susan Erika Happ, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

096000345RN Issued in OR

Practice address

5715 NE 25TH Ave
Portland, OR 97211-6107

Phone

(503) 358-2874

NPI assigned

Jun 30, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1235544099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 NE 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116107",
            "telephone_number": "503-358-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 NE 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972116107",
            "telephone_number": "503-358-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAPP",
        "first_name": "SUSAN",
        "middle_name": "ERIKA",
        "name_prefix": "Ms.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "096000345RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "11132550",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Portland, OR
• Providers in Portland, OR by specialty
• Lactation Consultant (Registered Nurse) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.