Gloria Circosta, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-157095 Issued in TX

Practice address

301 Brushy Creek Rd Ste 106
Cedar Park, TX 78613-3151

Phone

(512) 765-9959

Fax

(888) 227-7057

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Babies 411 LLC

  dba My Pure Delivery

  • Lactation Consultant (Registered Nurse)
  • Cedar Park, TX
  • NPI 1013394055
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1275139115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 N FM 620 RD # 247",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264129",
            "telephone_number": "512-765-9959",
            "fax_number": "512-765-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRUSHY CREEK RD STE 106",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133151",
            "telephone_number": "512-765-9959",
            "fax_number": "888-227-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRCOSTA",
        "first_name": "GLORIA",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "762418",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-157095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick Chu, O.D.
• Sophie Chudleigh, LCSW
• Daija Chumley
• Satish Chundru, DO
• Jessica Marie Cicone, DDS
• City of Cedar Park (Cedar Park Fire Department)
• City of Cedar Park Fire Department
• CK Dental Group (Vista Ridge Family Dentistry)
• Clarity Brain and Spine, PA
• Ashley Clark, DPT

• Lactation Consultant (Registered Nurse) in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.