Active NPI
Anne Leclercq, MIDWIFE, IBCLC
- Lactation Consultant (Non-RN)
- Austin, TX
National Provider Identifier
1316478951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-311925
- Practice address
- 10905 Marble Rd
Austin, TX 78750-1517 - Phone
- (512) 750-6785
- NPI assigned
- Mar 24, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 99281 | TX | |
| Lactation Consultant (Non-RN) | 174N00000X | L-311925 | TX | Primary |
Addresses
Primary practice location
10905 Marble Rd
Austin, TX 78750-1517
Mailing address
10905 Marble Rd
Austin, TX 78750-1517
Phone (512) 750-6785
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-311925 | TX | MD | Lactation Consultant (Non-RN) |
| 99281 | TX | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birth Gardens LLC | Lactation Consultant, Non-RN | Current | Accepting new patients |
Locations
6010 Balcones Dr
Ste 100
Austin, TX 78731
3600 W Parmer Ln
Ste 108
Austin, TX 78727
Phone (512) 238-7777
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)
- Austin, TX
- NPI 1063205003
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1316478951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10905 MARBLE RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501517",
"telephone_number": "512-750-6785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10905 MARBLE RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501517",
"telephone_number": "512-750-6785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECLERCQ",
"first_name": "ANNE",
"credential": "MIDWIFE, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "99281",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "TX",
"license": "L-311925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.