Active NPI
Monnie Kate Tims, IBCLC
- Lactation Consultant (Non-RN)
- Austin, TX
National Provider Identifier
1255043519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-310420
- Practice address
- 6850 Austin Center Blvd Ste 225
Austin, TX 78731-3293 - Phone
- (512) 846-6455
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | L-310420 | TX | Primary |
Addresses
Primary practice location
6850 Austin Center Blvd Ste 225
Austin, TX 78731-3293
Mailing address
513 Saddleback Rd
Austin, TX 78737-4572
Phone (817) 683-1106
Other names 1
- Katie Tims
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
| License | State | Type | Specialty |
|---|---|---|---|
| L-310420 | TX | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk Diva LLC | Current | Accepting new patients |
Locations
6850 Austin Center Blvd
Ste 225
Austin, TX 78731
Phone (512) 846-6455
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1255043519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 SADDLEBACK RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787374572",
"telephone_number": "817-683-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 AUSTIN CENTER BLVD STE 225",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313293",
"telephone_number": "512-846-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMS",
"first_name": "MONNIE",
"middle_name": "KATE",
"name_prefix": "Mrs.",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "TX",
"license": "L-310420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "TIMS",
"credential": "IBCLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Austin, TX
- Sheryl K Timmons, LPC
- Timothy D. Sheehan III, MD, PA
- Timothy S. Harrington (Barton Creek Chiropractic)
- Erin C Timperlake, MA,TX
- Jessica B Timpson
- Tin RX 805, Inc. (Rite Care Pharmacy II)
- Tina Alexander LCSW PLLC
- Tina Laboy Nutrition Therapy LLC
- Tina Ward, MD PA
- Tina's Surgery Team, PLLC (Austin Area Surgical Assistants)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.