Active NPI
Lisa Broughton, IBCLC
- Lactation Consultant (Non-RN)
- Concord, CA
National Provider Identifier
1245772441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 4478 Pitch Pine CT
Concord, CA 94521-4406 - Phone
- (925) 323-2627
- NPI assigned
- Nov 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
4478 Pitch Pine CT
Concord, CA 94521-4406
Mailing address
4478 Pitch Pine CT
Concord, CA 94521-4406
Phone (925) 323-2627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L-16437 | Other | CA | IBCLC |
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": "1478390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478390400000",
"number": "1245772441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4478 PITCH PINE CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214406",
"telephone_number": "925-323-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4478 PITCH PINE CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214406",
"telephone_number": "925-323-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUGHTON",
"first_name": "LISA",
"credential": "IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-06",
"last_updated": "2016-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBCLC",
"identifier": "L-16437",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.