Individual provider Active NPI

Jill S Price, IBCLC, RN, BSN

  • Lactation Consultant (Registered Nurse)
  • Lafayette, CO
National Provider Identifier
1275131906
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-136024 Issued in CO
Practice address
781 Stagecoach Dr
Lafayette, CO 80026-8711
Phone
(720) 276-2310
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN.0166520 CO
Lactation Consultant (Registered Nurse) 163WL0100X L-136024 CO Primary

Addresses

Primary practice location

781 Stagecoach Dr
Lafayette, CO 80026-8711

Mailing address

781 Stagecoach Dr
Lafayette, CO 80026-8711
Phone (720) 276-2310

Other identifiers 1

IdentifierTypeStateIssuer
RN.0166520OtherCODEPARTMENT OF REGULATIONS COLORADO

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-136024COMDLactation Consultant (Registered Nurse)
RN.0166520COMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1275131906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 STAGECOACH DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268711",
            "telephone_number": "720-276-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 STAGECOACH DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268711",
            "telephone_number": "720-276-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JILL",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "IBCLC, RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CO",
            "license": "RN.0166520",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CO",
            "license": "L-136024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REGULATIONS COLORADO",
            "identifier": "RN.0166520",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.