Hollie Stockdale, RN, BSN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

205419 Issued in TN

Practice address

110 Ridgeoak PL
Jackson, TN 38305-2303

Phone

(731) 803-1313

NPI assigned

Nov 11, 2020

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1316549769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RIDGEOAK PL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052303",
            "telephone_number": "731-803-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RIDGEOAK PL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052303",
            "telephone_number": "731-803-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKDALE",
        "first_name": "HOLLIE",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TN",
            "license": "205419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L-315181",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Ralph Brown (Brown Chiropractic Center)
• Amanda Diez Stewart, OT
• Earl L Stewart, MD
• Jonathan G Stigler, DO
• Britton Marie Stockdale, LMSW
• Lillian Shea Stoffregen, LMSW
• Angela Y Stokes, CASE MANAGER
• Christopher Stoltz, PHARM.D.
• Stonebridge Apothecary LLC
• Stonebridge Medical Group, PLC

• Lactation Consultant (Registered Nurse) in Jackson, TN
• Providers in Jackson, TN by specialty
• Lactation Consultant (Registered Nurse) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.