Individual provider Active NPI

Anne Leclercq, MIDWIFE, IBCLC

  • Lactation Consultant (Non-RN)
  • Austin, TX
National Provider Identifier
1316478951
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-311925 Issued in TX
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

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
L-311925TXMDLactation Consultant (Non-RN)
99281TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Birth Gardens LLC Lactation Consultant, Non-RN CurrentSince May 25, 2025 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.

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.

Verify at the official NPI Registry.