Active NPI
Surinia Stocks Thurman, IBCLC, LMBT
- Independent Duty Medical Technicians
- Davidson, NC
National Provider Identifier
1295979078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Medical Technicians
- Practice address
- 522 Potts St
Davidson, NC 28036-8406 - Phone
- (704) 997-9406
- Fax
- (704) 896-4907
- NPI assigned
- Apr 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Primary |
Addresses
Primary practice location
522 Potts St
Davidson, NC 28036-8406
Mailing address
522 Potts St
Davidson, NC 28036-8406
Phone (704) 997-9406
Other practice location 1
77 Nealy Avenue
1st Medical Group
Langley AFB, VA 23665-2040
Phone (757) 225-7630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20159 | Other | NC | LMBT |
| L-307326 | Other | NC | IBCLC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Surinia@lknbreastfeedingsolutions.com |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Norman Breastfeeding Solutions LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Lactation Consultant (Non-RN)
- Davidson, NC
- NPI 1770029001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295979078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 POTTS ST",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280368406",
"telephone_number": "704-997-9406",
"fax_number": "704-896-4907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 POTTS ST",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280368406",
"telephone_number": "704-997-9406",
"fax_number": "704-896-4907"
}
],
"practiceLocations": [
{
"address_1": "77 Nealy Avenue",
"address_2": "1st Medical Group",
"address_purpose": "LOCATION",
"city": "Langley AFB",
"state": "VA",
"postal_code": "236652040",
"country_code": "US",
"telephone_number": "757-225-7630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THURMAN",
"first_name": "SURINIA",
"middle_name": "STOCKS",
"credential": "IBCLC, LMBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-24",
"last_updated": "2025-09-11",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMBT",
"identifier": "20159",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBCLC",
"identifier": "L-307326",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Surinia@lknbreastfeedingsolutions.com",
"affiliation": "N",
"address_1": "522 Potts St",
"city": "Davidson",
"state": "NC",
"country_code": "US",
"postal_code": "280368406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davidson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.