Active NPI
Nancy Clark
- Lactation Consultant (Non-RN)
- West Topsham, VT
National Provider Identifier
1346622479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- 026.0009203
- Practice address
- 47 Kimball Hill Rd
Mail Slot 41
West Topsham, VT 05086 - Phone
- (802) 439-6196
- NPI assigned
- Jun 25, 2015
- Last updated
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 026.0009203 | VT | Primary |
Addresses
Primary practice location
47 Kimball Hill Rd
Mail Slot 41
West Topsham, VT 05086
Mailing address
47 Kimball Hill Rd
West Topsham, VT 05086
Phone (802) 439-6196
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 |
|---|---|---|---|
| 026.0009203 | VT | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1346622479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 KIMBALL HILL RD",
"city": "WEST TOPSHAM",
"state": "VT",
"postal_code": "05086",
"telephone_number": "802-439-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 KIMBALL HILL RD",
"address_2": "MAIL SLOT 41",
"city": "WEST TOPSHAM",
"state": "VT",
"postal_code": "05086",
"telephone_number": "802-439-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "NANCY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "VT",
"license": "026.0009203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Topsham, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.