Credo Lactation LLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

Legal business name

CREDO LACTATION LLC

Practice address

1800 Misty Hollow LN
Apex, NC 27502-6222

Phone

(919) 219-2680

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Colleen R Sopp, RN, IBCLCNPI 1891441994

Title

RN, Ibclc

Phone

(919) 219-2680

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen R Sopp, RN IBCLC

  • Lactation Consultant (Registered Nurse)
  • Apex, NC
  • NPI 1891441994
  NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1295450484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MISTY HOLLOW LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026222",
            "telephone_number": "919-219-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MISTY HOLLOW LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026222",
            "telephone_number": "919-219-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDO LACTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "SOPP",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RN, IBCLC",
        "authorized_official_telephone_number": "919-219-2680",
        "authorized_official_credential": "RN, IBCLC"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Registered Nurse) in Apex, NC
• Providers in Apex, NC by specialty
• Lactation Consultant (Registered Nurse) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.