Individual provider Active NPI

Rachel Sultzer, CLC

  • Lactation Consultant (Non-RN)
  • Jacksonville, FL
National Provider Identifier
1245741891
Registry record updated Oct 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
280596 Issued in MA
Practice address
2857 Dellwood Ave
Jacksonville, FL 32205-5807
Phone
(215) 262-4312
NPI assigned
Oct 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2017

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 280596 MA Primary

Addresses

Primary practice location

2857 Dellwood Ave
Jacksonville, FL 32205-5807

Mailing address

2857 Dellwood Ave
Jacksonville, FL 32205-5807
Phone (215) 262-4312

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

NPI Registry JSON

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508630400000",
    "number": "1245741891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 DELLWOOD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055807",
            "telephone_number": "215-262-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 DELLWOOD AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055807",
            "telephone_number": "215-262-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULTZER",
        "first_name": "RACHEL",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MA",
            "license": "280596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2017; 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.