Shannon L Sweet, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

604376 Issued in TX

Practice address

2700 E Villa Maria Rd
Bryan, TX 77802-2031

Phone

(979) 229-1175

NPI assigned

Aug 31, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon L Savage-Sanford Former name

Electronic endpoints 1

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

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.

• Sweet Lactation Corporation

  dba Sweet Lactation

  • Lactation Consultant (Registered Nurse)
  • Bryan, TX
  • NPI 1689255812
  NPD Authorized official

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1275849093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022031",
            "telephone_number": "979-229-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022031",
            "telephone_number": "979-229-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7793 County Road 276",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "TX",
            "postal_code": "758314615",
            "country_code": "US",
            "telephone_number": "979-229-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEET",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "604376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "None",
            "address_1": "2700 E Villa Maria Rd",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778022031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "SAVAGE-SANFORD",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol B. Suter, M.S., R.D., L.D.
• Carl Andrew Svajda, D.D.S
• Jennifer M Swanson, SSP
• Madison Kathryn Swanson
• Sweet Lactation Corporation (Sweet Lactation)
• Megan Swint
• Gustavo Eduardo Tafet, MD
• Takaniextensions
• Carsyn Alysse Talamantez
• Nicholas Talik, BSN, RN

• Lactation Consultant (Registered Nurse) in Bryan, TX
• Providers in Bryan, 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 Apr 19, 2021; 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.