Individual provider Active NPI

Stephanie Renea Dawson, IBCLC

  • Lactation Consultant (Non-RN)
  • Lakeland, FL
National Provider Identifier
1285277376
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
105 S Florida Ave
Lakeland, FL 33801-4619
Phone
(863) 349-3824
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

105 S Florida Ave
Lakeland, FL 33801-4619

Mailing address

1342 Sunnydell Farm LN
Lakeland, FL 33809-3001
Phone (859) 797-1068

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Lakeland, LLC Lactation Consultant, Non-RN CurrentSince Aug 17, 2025 Accepting new patients
The Nest of Lakeland Lactation Consultant, Non-RN PastSince Oct 1, 2019 Accepting new patients

Locations

105 S Florida Ave
Lakeland, FL 33801
Phone (863) 349-3824

726 S Missouri Ave
Lakeland, FL 33815
Phone (863) 448-2224

Organizations & group practices 2

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1285277376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 SUNNYDELL FARM LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338093001",
            "telephone_number": "859-797-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014619",
            "telephone_number": "863-349-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "STEPHANIE",
        "middle_name": "RENEA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.