Rachel Bennett, CCC-SLP, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-315305 Issued in TX

Practice address

2306 Monte Cristo Dr
Sherman, TX 75092-2322

Phone

(512) 228-0088

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1356984819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 MONTE CRISTO DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922322",
            "telephone_number": "512-228-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 MONTE CRISTO DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922322",
            "telephone_number": "512-228-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "RACHEL",
        "credential": "CCC-SLP, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113916",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TX",
            "license": "L-315305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL BOARD CERTIFIED LACTATION CONSULTANT",
            "identifier": "174N0000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Bennett, RN
• B'Randa Jacqueline Bennett
• Jana Lynne Bennett, RPH
• Jerry D Bennett, MD
• Maci Bennett
• Richard Bennett, P.T.
• Amy Bentley
• Chani Bergen
• Abbi Christine Bergman, APRN, FNP-C
• Julia Kaye Beshears, NP

• Lactation Consultant (Non-RN) in Sherman, TX
• Providers in Sherman, TX by specialty
• Lactation Consultant (Non-RN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.