Individual provider Active NPI

Sophia Rose Chivas, IBCLC

  • Lactation Consultant (Non-RN)
  • Lakewood Ranch, FL
National Provider Identifier
1295649093
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-318849 Issued in FL
Practice address
7345 International PL Ste 109
Lakewood Ranch, FL 34240-8468
Phone
(941) 200-4279
NPI assigned
Sep 29, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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 L-318849 FL Primary

Addresses

Primary practice location

7345 International PL Ste 109
Lakewood Ranch, FL 34240-8468

Mailing address

30152 Turtle Creek Cir
New Hudson, MI 48165-0008
Phone (941) 200-4279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1295649093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30152 TURTLE CREEK CIR",
            "city": "NEW HUDSON",
            "state": "MI",
            "postal_code": "481650008",
            "telephone_number": "941-200-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 INTERNATIONAL PL STE 109",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408468",
            "telephone_number": "941-200-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIVAS",
        "first_name": "SOPHIA",
        "middle_name": "ROSE",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": "L-318849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.